Table 2. Clinical characteristics of the 93 travelers with dengue.
% | N | ||
Clinical symptoms | |||
Fever | 93 | 86/92 | |
Rash | 71 | 65/92 | |
Headache | 64 | 59/92 | |
Myalgia | 55 | 51/92 | |
Fatigue | 51 | 47/92 | |
Other gastrointestinal symptoms | 46 | 42/92 | |
Nausea | 45 | 41/92 | |
Arthralgia | 34 | 31/92 | |
Respiratory symptoms | 27 | 25/92 | |
Hemorrhagic manifestations | 24 | 22/92 | |
Vomiting | 24 | 22/92 | |
Retro-orbital pain | 17 | 16/92 | |
Pruritus | 9 | 8/90 | |
Shock | 0 | 0/92 | |
Routine laboratory findings in follow-upa | |||
Anaemia (<134/117 g/L) | 9 | 5/56 | |
Elevated Hb (>167/155 g/L) | 13 | 11/87 | |
Low Hcr (<39%/35%) | 9 | 5/56 | |
Elevated Hcr (>50%/46%) | 8 | 7/87 | |
Leukopenia (<3.4×109/L) | 67 | 59/88 | |
Thrombocytopenia (<150×109/L) | 78 | 68/87 | |
Elevated AST (>45/35 U/L) | 78 | 49/63 | |
Elevated ALT (>70/45 U/L) | 61 | 51/83 | |
Elevated creatinine (>100/90 µmol/L) | 25 | 10/40 | |
Patients positive for the various diagnostic testsb | |||
PCR | 74% | 67/90 | |
NS1 | 79% | 72/91 | |
IgMc | 100% | 93/93 | |
IgG | 98% | 91/93 | |
Serotype identified | |||
DENV-1 | 26 | 24/93 | |
DENV-2 | 8 | 7/93 | |
DENV-3 | 24 | 22/93 | |
DENV-4 | 3 | 3/93 | |
Not known | 40 | 37/93 | |
Co-infectionsd | |||
At least one co-infection | 19 | 17e/91 | |
Gastrointestinal infection | 9 | 8/91 | |
Respiratory tract infection | 4 | 4/91 | |
Urinary tract infection | 2 | 2/91 | |
Other bacterial disease | 2 | 2/91 | |
Malaria | 2 | 2/91 | |
Other parasitic disease | 1 | 1/91 | |
Hospitalization | 79 | 73f/92 |
Reference values for males/females in parentheses.
At least once during the 21 days since illness onset. The timing of serum sampling was not standardized.
Selection criterion for entering the study.
Diagnosed according to current practice.
Of these patients, 9/17 (53%) were positive for PCR or NS1 at some point. The patients negative for PCR and NS1 provided samples on illness days 6–21.
Duration of hospitalization: median 4 days, interquartile range 3 to 6 days.
Abbreviations: ALT, alanine transaminase; AST, aspartate transaminase; DENV, dengue virus; Hb, hemoglobin; Hcr, hematocrit.