Table 1. Demographic characteristics of the study population and clinical course of the patients with dengue.
Characteristic | Controls | Patients | ||
DF | DF/WS | Severe DF | ||
(n = 10) | (n = 34) | (n = 17) | (n = 15) | |
Gender, F:M | 8∶2 | 17∶17 | 10∶7 | 7∶8 |
Age (years), mean ± SD | 38.4±16.5 | 39.8±17.5 | 40.4±17.1 | 40.4±19.6 |
Post-infection daya, mean ± SD | - | 3.8±2.2 | 3.9±2.8 | 4.5±2.2 |
Primary infectionb, % | - | 20.6 | 0 | 0 |
Secondary infectionb, % | - | 79.4 | 100 | 100 |
Clinical sign and symptoms | ||||
Bleeding, %c | - | 29 | 53 | 73.3 |
Fluid leakage, %d | - | 0 | 0 | 53.3 |
Hypotension, %e | - | 0 | 0 | 20 |
Laboratory test results | ||||
Platelets ×103/mm3, mean ± SD | 295.2±38.7 | 138.9±76.8* | 73.9±52.5* , † | 47.1±61.3* , † , ‡ |
Haematocrit, %, mean ± SD | 37.8±1.3 | 40.2±3.4 | 38.9±5.1 | 36.6±3.2* , † |
Total leukocytes/mm3, mean ± SD | 6100±731.4 | 4047.8±2573.9* | 3402.7±1426.6* | 4598.5±2986* |
Monocytes/mm3, mean ± SD | 432.7±99.8 | 454.9±375.5 | 252.4±156.0 | 241.4±185.6 |
AST, IU/L, mean ± SD | nd | 77.6±81.4 | 98.5±93.9 | 179±239† |
ALT, IU/L, mean ± SD | nd | 71.8±76.6 | 83.3±75 | 190±286† |
DF, dengue fever; DF/WS, DF with warning signs; AST, aspartate aminotransferase; ALT, alanine aminotransferase; nd, not determined.
Days from symptom onset until the interview;
primary infection was defined as IgM antibody level >1.0 and IgG/IgM antibody ratio <0.5. Secondary infection was defined as IgG antibody level >1.0 and IgG/IgM antibody ratio >1.0 or IgM antibody level <1.0 and IgG antibody level >1.0.
includes skin haemorrhages, epistaxis, gingival bleeding, gastrointestinal bleeding, urinary tract haemorrhage or metrorrhagia;
signs of vascular leakage (pleural or pericardial effusion, ascites);
pulse pressure <20 mmHg or hypotensive for age.
*p≤0.05 vs. Controls;
p≤0.05 vs. DF;
p≤0.05 vs. DF/WS. Statistical differences were assessed by Mann-Whitney U test.