Publication: Clinical manifestations of early childhood dengue virus infection in Thailand
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Issued Date
2021
Resource Type
Language
eng
File Type
application/pdf
ISSN
3005283
Other identifier(s)
2-s2.0-85121150916
Rights Holder(s)
มหาวิทยาลัยศรีนครินทรวิโรฒ
Bibliographic Citation
Medical Journal of Malaysia. Vol 76, No.6 (2021), p.853-856
Suggested Citation
Prommalikit O., Thisyakorn U., Thisyakorn C. Clinical manifestations of early childhood dengue virus infection in Thailand. Medical Journal of Malaysia. Vol 76, No.6 (2021), p.853-856. Retrieved from: https://hdl.handle.net/20.500.14740/8135
Author(s)
Abstract
Introduction: Clinical manifestations of dengue infection has a wide spectrum. This study aimed to describe and compare the clinical aspects of dengue infection in early childhood and those in older children. Materials and Methods: All dengue patients hospitalised at King Chulalongkorn Memorial Hospital, Bangkok, Thailand during 1987-2008 and aged 0-15 years were included. All parameters were compared between patients in two groups: aged 0-2 years and >2-15 years. Results: Of the 2,221 children who were diagnosed with dengue, 179 were children aged 0-2 years compared with 2,042 children aged >2-15 years. The early childhood group presented significantly more frequently with hepatomegaly, drowsiness, diarrhoea, rash, convulsions, splenomegaly, and unusual manifestations. Dengue fever (DF) was more common in the early childhood group and dengue haemorrhagic fever (DHF) was less common. The mortality rate of the early childhood group was 1.67%, which was significantly higher than that of the comparative group. Approximately 65% of study subjects were serologically proven to have primary infection, compared to 9.8% of older children. Conclusions: Clinical manifestations of dengue infection in early childhood are different in some aspects from those of dengue infection in older children, and mortality is higher. To effectively prevent dengue infection morbidity and mortality in children, it is essential that clinicians correctly recognize and diagnose dengue infection, particularly in early childhood. © 2021, Malaysian Medical Association. All rights reserved.
Subject(s)
Abdominal pain
Adolescent
Article
Bleeding
Child
Clinical article
Common cold
Comparative study
Controlled study
Convulsion
Dengue
Dengue hemorrhagic fever
Dengue virus
Diarrhea
Drowsiness
Enzyme linked immunosorbent assay
Female
Hemagglutination inhibition test
Hepatomegaly
Human
Immune adherence
Infant
Male
Medical record
Mortality
Newborn
Platelet count
Polymorphonuclear cell
Positive tourniquet test
Preschool child
Primary infection
Rare disease
Rash
Retrospective study
School child
Secondary infection
Skin manifestation
Splenomegaly
Thailand
Vomiting
World Health Organization
Adolescent
Article
Bleeding
Child
Clinical article
Common cold
Comparative study
Controlled study
Convulsion
Dengue
Dengue hemorrhagic fever
Dengue virus
Diarrhea
Drowsiness
Enzyme linked immunosorbent assay
Female
Hemagglutination inhibition test
Hepatomegaly
Human
Immune adherence
Infant
Male
Medical record
Mortality
Newborn
Platelet count
Polymorphonuclear cell
Positive tourniquet test
Preschool child
Primary infection
Rare disease
Rash
Retrospective study
School child
Secondary infection
Skin manifestation
Splenomegaly
Thailand
Vomiting
World Health Organization
