%0 Journal Article
%T Hallazgos ultrasonogr¨¢ficos en pacientes con Dengue: revisi¨®n de la literatura Ultrasound findings in patients with Dengue fever: literature review
%A Mar¨ªa Elena Castrill¨®n
%A Noelia Iturrieta
%A Sergio Cativelli
%A Federico Padilla
%J Revista Argentina de Radiolog¨ªa
%D 2010
%I Sociedad Argentina de Radiolog¨ªa
%X Objetivo: Presentar los hallazgos ultrasonogr¨¢ficos abdominales y tor¨¢cicos en pacientes con Dengue en comparaci¨®n con la literatura. Material y m¨¦todos: Se realizaron ex¨¢menes ecogr¨¢ficos a 29 pacientes, 18 de sexo femenino y 11 de sexo masculino -con una media de edad de 35.6 a os-, todos ellos con confirmaci¨®n serol¨®gica de Dengue, internados en el Hospital Rawson de C¨®rdoba durante el brote epid¨¦mico de enero-junio de 2009. Los hallazgos fueron comparados con los descriptos en la literatura. Resultados: Los resultados ecogr¨¢ficos m¨¢s relevantes fueron: engrosamiento de la pared vesicular (n=7) (24%); l¨ªquido libre abdominal/pelviano (n= 9) (31%); hepatomegalia (n=5) (17%); esplenomegalia (n=4) (14%); l¨ªquido pericolec¨ªstico y derrame pleural (n=2) (7%). En el 62% de los pacientes (n=18) el estudio ecogr¨¢fico result¨® normal. Conclusi¨®n: La ecograf¨ªa es una herramienta de utilidad para confirmar casos sospechosos de Dengue y para detectar precozmente la gravedad y progresi¨®n de la enfermedad. Objective: To review abdominal and thoracic ultrasound findings in patients with serologically proven dengue fever and to compare them with the literature. Material and methods: Twenty-nine patients, 18 females and 11 males, mean age 35.6 years, with serologically proven dengue fever, were admitted to Hospital Rawson of Cordoba and underwent abdominal ultrasound during the epidemic outbreak between January and June 2009. Their ultrasound findings were compared with data from the literature. Results: The most relevant ultrasound findings were diffuse gallbladder wall thickening in 7 cases (24%), abdominal/ pelvic free fluid in 9 (31%), hepatomegaly in 5 (17%), splenomegaly in 4 (14%), and perivesicular fluid and pleural effusion in 2 (7%). Eighteen patients (62%) had normal abdominal ultrasound. Conclusion: Abdominal sonography is a useful diagnostic tool to detect complications in patients with suspected or serologically confirmed diagnostic of Dengue fever.
%K Dengue
%K Ecograf¨ªa
%K Manifestaciones abdominales
%K Dengue
%K Ultrasound
%K Abdominal findings
%U http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1852-99922010000100009