Complicated dengue in the adult patient

Authors

Keywords:

complicated dengue, signs, alarm, paciente adulto

Abstract

Introduction: Dengue in recent years has become an important public health problem in Cuba.
Objective: to characterize the clinical and epidemiological characteristics of adult patients with complicated dengue treated at Camilo Cienfuegos hospital in Sancti Spíritus in the piriod of time from January 2022 to March 2024.
Methods: A descriptive, cross-sectional observational study was carried out at  Camilo Cienfuegos hospital in Sancti Spíritus during the period of time 2021-2023. The sample consisted of 164 patients admitted to the internal medicine service. The study variables were: age, sex, history of dengue infection, associated diseases, clinical warning signs, complementary warning signs.
Results: the female sex prevailed (54.6%) and the age group between 30 and 39 years (27.61%), 82.21% without a history of dengue disease without significant differences by sex; 38.65% were diabetic and 29.45% were hypertensive. The most frequent warning signs were intense and sustained abdominal pain (55.83%) and persistent vomiting (38.65%); Thrombocytopenia (30.06%) and hemoconcentration (17.79%) were identified through diagnostic means.
Conclusions: the female sex and age groups from 30 to 39 years predominated. Most patients had no history of dengue. Diabetes mellitus and arterial hypertension were the most frequent comorbilidities; abdominal pain, persistent vomiting and thrombocytopenia are the most common warning signs.

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Author Biographies

Yuniel Abreu Hernández, Camilo Cienfuegos Provincial General Hospital

Second Degree Specialist in General Medicine and Internal Medicine. Assistant Professor. Research Associate. University of Medical Sciences. Camilo Cienfuegos General Hospital. Internal Medicine Service. Sancti-Spíritus

Daimara Barrera León, Camilo Cienfuegos Provincial General Hospital

Nursing degree. First Degree Specialist in Geriatrics and Gerontology. Sancti-Spíritus University of Medical Sciences. Camilo Cienfuegos Hospital. Geriatrics Service. Sancti-Spíritus. Cuba.

Yamil Fidel García Guevara, Camilo Cienfuegos Provincial General Hospital

Camilo Cienfuegos General Hospital, Clinical Area Department, 1st Degree Specialist in Internal Medicine. Instructor Professor. Sancti Spíritus. Cuba

Jorge Luis Lorente Montiel, University of Medical Sciences. Sancti Spiritus

Second-year medical student

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Published

2025-04-01

How to Cite

1.
Abreu Hernández Y, Barrera León D, García Guevara YF, Lorente Montiel JL. Complicated dengue in the adult patient. Acta Méd Centro [Internet]. 2025 Apr. 1 [cited 2025 Jul. 12];19(1):e2061. Available from: https://revactamedicacentro.sld.cu/index.php/amc/article/view/e2061

Issue

Vol. 19 (2025): PUBLICACIÓN CONTINUA

Section

Original Articles

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