Table 1. Clinical and serologic findings in four patients from whom dengue virus was isolated from their throat or nasopharynx.
Patient | 1 | 2 | 3 | 4 |
---|---|---|---|---|
Age | 64 | 17 | 14 | 12 |
Sex | F | M | F | M |
Clinical Symptoms | Fever Myalgia Headache |
Fever Myalgia Abdominal pain |
Fever Nausea |
Fever Myalgia Headache Vomiting Bone pain |
Respiratory Symptoms | Cough Rhinorrhea Nasal congestion |
Cough Rhinorrhea Sore throat |
Cough Rhinorrhea |
Rhinorrhea Nasal congestion |
Clinical Diagnosis | Dengue | Acute tonsillitis | Suspected otitis media or dengue | Dengue |
Dengue Serology | NS1 (+), IgM (-), IgG (-) | Not tested | NS1 (+), IgM (-), IgG (-) | NS1 (+), IgM (-), IgG (-) |
Dengue Warning Signs | Gingival bleeding | Nil | Nil | Gingival bleeding Epistaxis Petechiae Purpura |
Clinical Specimen Cultured | Nasopharyngeal swab | Throat swab | Throat swab | Throat swab |
aDay of Illness during virus isolation | Day 2, febrile phase | Day 1, febrile phase | Day 4, febrile phase | Day 4, critical phase |
Dengeue virus Serotype | Dengue virus type 2 | Dengue virus type 2 | Dengue virus type 2 | Dengue virus type 1 |
bCase Classification | Dengue with warning signs | Dengue without warning signs | Dengue without warning signs | Severe Dengue |
aDefinition of dengue phase was based on 2009 WHO Dengue Guideline.
bClassification was based on the 2009 WHO Dengue Guideline.