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1.
Arch Pediatr ; 26(5): 259-262, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31281036

RESUMO

BACKGROUND: We aimed to describe the clinical and laboratory features of Chikungunya disease in infants aged from 1 month to 2years. METHODS: This epidemiologic study was carried out at the Pointe-à-Pitre University Hospital from May to September 2014. We collected data prospectively from infants hospitalized for Chikungunya disease. RESULTS: A total of 154 infants were included. Hyperthermia was greater than 38.5°C the first 48h and during on average 2.7 days. Pain (on mobilization and/or cutaneous hyperesthesia and/or arthralgia) was present in 82% of the cases. Loss of appetite was reported for 62% of the infants. Initial maculopapular erythematous eruption occurred in 69% of the cases. A vesiculobullous eruption was secondarily observed in 7% of the cases. Edema on the feet and/or hands was present in 48% of the cases. Febrile seizure was observed in 12% of the cases. Lymphopenia was the most frequent laboratory finding, present in 94% of the infants. No cases of thrombocytopenia were observed. The reported complications were: bullous epidermolysis, state of epilepticus, and severe acute hepatitis. CONCLUSION: This study highlights a suggestive clinical presentation of Chikungunya diseases combining pain, fever, tachycardia, foot and/or hand edema. Lymphopenia, monocytosis, and the absence of thrombocytopenia were relevant biological signs.


Assuntos
Febre de Chikungunya/diagnóstico , Surtos de Doenças , Febre de Chikungunya/epidemiologia , Febre de Chikungunya/terapia , Pré-Escolar , Estudos Transversais , Feminino , Guadalupe/epidemiologia , Hospitalização , Humanos , Lactente , Masculino , Estudos Prospectivos
2.
Am J Trop Med Hyg ; 64(3-4): 159-61, 2001.
Artigo em Inglês | MEDLINE | ID: mdl-11442211

RESUMO

Human myiasis caused by Calliphora vicina is rare in Europe. Here we report a case of C. vicina infection occurring in the traumatic leg wound of a healthy 21-year-old man. Firstly, a progressive necrotizing infection developed in the wound despite administration of antibiotics. Aeromonas hydrophila was isolated from the wound samples. Secondly, during debridement, C. vicina first-instar larvae were isolated from the wound. To our knowledge, this is the first European case of C. vicina wound myiasis associated with severe A. hydrophila infection.


Assuntos
Aeromonas hydrophila/isolamento & purificação , Dípteros/fisiologia , Infecções por Bactérias Gram-Negativas/complicações , Traumatismos da Perna/complicações , Miíase/diagnóstico , Adulto , Amputação Cirúrgica , Animais , Diagnóstico Diferencial , Fíbula/lesões , Humanos , Larva , Masculino , Metatarso/lesões , Miíase/complicações , Fraturas da Tíbia/complicações
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