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Observational Study
Emerging and imported diseases diagnosed in the emergency department of a hospital in Madrid.
- Beatriz Valle Borrego, Eduardo García Romo, Icíar Olabarrieta Arnal, Carmen María Orizales Lago, and Francisco Jesús Merino.
- Servicio de Urgencias Generales, Hospital Universitario Severo Ochoa, Leganés, Madrid, España. Facultad de Medicina. Universidad Alfonso X el Sabio, Madrid, España.
- Emergencias. 2018 Oct 1; 30 (5): 332-335.
ObjectivesTo describe the clinical and epidemiologic characteristics of patients diagnosed with malaria, dengue fever, and Zika or chikungunya virus infections in a hospital emergency department. To describe the usefulness of the department's diagnostic resources.Material And MethodsDescriptive observational study of patients diagnosed with infectious tropical diseases on the basis of samples collected in the emergency department.ResultsThe department diagnosed 4 cases of dengue fever, 7 cases of Zika virus infection, 7 of malaria, and 2 concomitant infections (malaria plus dengue fever and malaria plus chikungunya infection).ConclusionMost patients with these infections were males and natives of areas where the diseases were endemic. Even when malaria is diagnosed early, the possibility of concomitant infection by other arboviruses must be ruled out. Serology is necessary to rule out Zika virus infection; polymerase chain reaction testing of urine and serum should be included.
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