Professional Documents
Culture Documents
DE PUCALLPA
13/02/2017
Generalidades
Enfermedad compleja en sus manifestaciones
Clave Triaje
Rothman A., Clinical presentation and diagnosis of dengue virus infections, Uptodate Febrero 2012.
N Engl J Med 2012;366:1423-32.
Caso sospechoso Dengue
HUSPEDES CIRCULACIN
SUSCEPTIBLES VIRAL
Aedes aegypti
Principal vector mundial del dengue
Tambin vector de la Fiebre amarilla
Ocupa reas urbanas con/sin vegetacin
Preferencia por alimentarse de humanos
Principal sitio de replicacin contenedores
de agua
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
Caractersticas del vector
Familia Flaviviridae:
arbovirus (arthropod-borne).
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
Clnica
Rubor facial
Eritema cutneo
Dolor corporal generalizado
Mialgias (lumbares)
Cefalea
Faringodinia
Faringe inyectada
Inyeccin conjuntival
Anorexia
Nuseas
Vmitos
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
Clnica Fase febril
Viviana Pavlicich. Dengue: revisin y experiencia en pediatra. Arch Pediatr Urug 2016; 87(2):143-156
Clnica
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
Clnica Fase crtica
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
Clnica DENGUE GRAVE
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
fisiopatologa de la
disfuncin endotelial
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
Clnica DENGUE GRAVE
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
MONITOREO INTENSIVO
NO INVASIVO
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
Diagnsticos diferenciales
Influenza
Enterovirosis
Enfermedades exantemticas Sarampin
Hepatitis virales Rubola
Absceso heptico Parvovirosis
Abdomen agudo Eritema infeccioso
Otras arbovirosis (fiebre amarilla) Mononucleosis infecciosa
Escarlatina Exantema sbito
Neumona Citomegalovirus
Sepsis
Leptospirosis,
Malaria
Salmonelosis
Rickettsiosis
Prpura de Henoch- Schonlein
Enfermedad de Kawasaki
Prpura autoinmune
Farmacodermias
Alergias cutneas.
Gua de Atencin Clnica Integral del Paciente con Dengue. Ministerio de la proteccin social, 2010
Evaluacin diagnstica
IgM,
Caso aislamient
CONFIRMADO
probable o o RT-
PCR
Directos:
Indirectos
Deteccin de altos niveles (4 veces el basal) de IgM anti Dengue por ELISA, al
5to da de la enfermedad
Hacer comparacin en muestras pareadas
Si se tiene solo una, esta solo sugiere diagnstico presuntivo
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
Manejo
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
Manejo
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
Viviana Pavlicich. Dengue: revisin y experiencia en pediatra. Arch Pediatr Urug 2016; 87(2):143-156
Manejo GRUPO A
Viviana Pavlicich. Dengue: revisin y experiencia en pediatra. Arch Pediatr Urug 2016; 87(2):143-156
Manejo
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
Manejo
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
Manejo
Enfoque por pasos: PASO 3 MANEJO
3. Paciente que requieren TTO de emergencia y remisin urgente por dengue
grave
WHO. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition Geneva: World Health Organisation; 2009.
Manejo
Criterios de egreso:
VACUNA!?
Vacunas