Pulmonary hemorrhage in dengue: differential diagnosis with acute viral respiratory syndromes including COVID-19

ABSTRACT Clinical similarities among viral diseases become even more relevant considering the current scenario, especially in Brazil, where there is a high incidence of these diseases and overlapping seasonality. We report the case of a patient with acute clinical manifestations composed of predominant respiratory symptoms and alveolar hemorrhage in which three etiologies (dengue, influenza and COVID-19) were investigated concomitantly. Only the diagnosis of dengue was confirmed. Then, the patient’s immunological profile in response to stimulation of mononuclear cells with dengue virus antigen was analyzed in an attempt to identify specific characteristics that could be associated with the clinical manifestation.

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Bibliographic Details
Main Authors: Aguiar,Leonardo Antonio, Oliveira-Scussel,Ana Carolina de Morais, Menezes,Jerônimo Coelho de, Idaló,Priscila Barbosa, Freitas,Lara Élida Guazzeli de, Zago,Luzia Beatriz Ribeiro, Oliveira,Cristina da Cunha Hueb Barata de, Tavares,Naiara Clemente, Oliveira,Edward José de, Silva,Marcos Vinícius da, Teixeira,Luciana de Almeida Silva
Format: Digital revista
Language:English
Published: Instituto de Medicina Tropical de São Paulo 2022
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652022000100502
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