%0 Journal Article %T Dengue hemorr芍gico en dengue primario %A Hilda Palacios Serrano %A Mar赤a Elsa Vargas Caballero %A Tania Mar赤a Aguirre Portuondo %J Revista Cubana de Medicina Tropical %D 2001 %I Centro Nacional de Informaci車n de Ciencias M谷dicas %X Se describi車 la evoluci車n cl赤nica y humoral de un ni o de 7 a os que present車 dengue hemorr芍gico en el brote de dengue ocurrido en Santiago de Cuba en el a o 1997, etapa en la cual se confirm車 serol車gicamente el dengue en 77 pacientes menores de 15 a os, pero solo en uno se consider車 de tipo hemorr芍gico; a pesar de carecer de antecedentes de haber padecido la enfermedad y de no circular el virus en el pa赤s desde hac赤a m芍s de 3 lustros. El ni o experiment車 un cuadro de choque al cuarto d赤a del proceso, con hemoconcentraci車n, derrames pleural y asc赤tico, trombocitopenia, sangrado y despu谷s una sepsis nosocomial; pero se recuper車 totalmente en un per赤odo de 20 d. We described the clinical and humoral development of a 7-years old boy who had hemorrhagic dengue in the dengue epidemic taken place in Santiago de Cuba in 1997. During this stage, dengue was serologically confirmed in 77 patients under 15 years of age but only one case was considered to be hemorrhagic dengue in spite of the fact that the patient had no history of this disease and that the virus had not been circulating in the country for over 15 years. The boy was under shock on the fourth day of the process, with hemoconcentration, pleural and ascitic effusions, thrombocytopenia and later a nosocomial sepsis, but he completely recovered in a period of 20 days. %K FIEBRE DENGUE HEMORR芍GICO %K AEDES %K NI O %K DENGUE HEMORRHAGIC FEVER %K AEDES %K CHILD %U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0375-07602001000100011