1例境外输入性登革热的病例分析

Case analysis of one imported case of dengue fever

探讨1例境外输入性登革热的临床特征,明确其诊断和防治要点。选取1例于2023年9月1日蚌埠医科大学第一附属医院确诊的登革热病例,回顾性分析其临床表现及流行病学资料,并检测患者登革热病毒核酸。患者既往有马尔代夫旅居史,受凉后出现发热、畏寒,伴有肌肉酸痛、双下肢散在皮疹等症状,登革热病毒核酸阳性。给予营养支持、退热、补液、止血、升粒细胞等对症治疗后,患者好转出院。登革热临床表现复杂多样,病史采集考虑患者有外地旅居史,目前无特效抗登革病毒药物,主要采取对症及支持治疗。

To investigate the clinical features of one case of imported dengue fever,and to clarify the key points of its diagnosis and prevention.One case of dengue fever confirmed in the First Affiliated Hospital of Bengbu Medical University on September 1,2023 was selected,and the clinical manifestations and epidemiological data were retrospectively analyzed,along with testing for the dengue virus nucleic acid in the patient.The patient had a history of travel and residence in the Maldives,and developed symptoms such as fever,chills,accompanied by muscle aches,and scattered rashes on both lower limbsfollowing exposure to cold,with a positive dengue virus nucleic acid test.After symptomatic treatment with nutritional support,antipyretic,rehydration,hemostasis,and elevated granulocytes,the patient was discharged from the hospital with improvement.The clinical manifestations of dengue fever are complex and diverse,and the collection of medical history should consider the patient's travel history abroad.Currently,there is no specific anti-dengue virus drug,and symptomatic and supportive treatment is mainly adopted.