Autor(es): Pincus Laura B, Grossman Marc E, Fox Lindy P

Resumo: Dengue fever is the most common identifiable cause of acute febrile illness among travelers returning from South America, South Central Asia, Southeast Asia, - the Caribbean. Although the characteristic exanthem of dengue fever occurs in up to 50% of patients, few descriptions of it are found in the dermatology literature, - discussions of how to distinguish the dengue exanthem from other infectious disease entities are rare. Chikungunya fever is an emerging infectious disease now seen in returning US tourists - should be considered in the differential diagnosis of dengue fever in the appropriate patient. The purpose of our study was to report two cases of dengue fever among returning US tourists, provide a review of dengue fever, offer an extensive differential diagnosis of dengue fever, - raise awareness among dermatologists of chikungunya fever. This study includes clinical findings of two returning travelers, one who traveled to Mexico - the other to Thail-, complemented by a discussion of both dengue fever - its differential diagnosis. Limited to 2 case reports. Dengue fever should be considered in the differential diagnosis of fever - rash in the returning traveler. Dermatologists should be aware of the distinctive exanthem of dengue fever. Recognition of the dengue fever rash permits a rapid - early diagnosis, which is critical, as dengue fever can progress to life-threatening dengue hemorrhagic fever or dengue shock syndrome.

Imprenta: Journal of the American Academy of Dermatology, v. 58, n. 2, p. 308-316, 2008

Identificador do objeto digital: 10.1016/j.jaad.2007.08.042

Descritores: Chikungunya virus - Viral infections ; Chikungunya Virus - Virus ; Chikungunya virus - Chikungunya fever ; Chikungunya virus - Dengue

Data de publicação: 2008