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

Leonardo Antonio  Aguiar; Ana Carolina de Morais  Oliveira-Scussel; Jerônimo Coelho de  Menezes; Priscila Barbosa  Idaló; Lara Élida Guazzeli de  Freitas; Luzia Beatriz Ribeiro  Zago; Cristina da Cunha Hueb Barata de  Oliveira; Naiara Clemente  Tavares; Edward José de  Oliveira; Marcos Vinícius da  Silva; Luciana de Almeida Silva  Teixeira

doi:10.1590/S1678-9946202264013

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

Authors

Leonardo Antonio Aguiar Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil http://orcid.org/0000-0002-1972-8988
Ana Carolina de Morais Oliveira-Scussel Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil http://orcid.org/0000-0002-1353-5683
Jerônimo Coelho de Menezes Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil http://orcid.org/0000-0001-9345-0470
Priscila Barbosa Idaló Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil http://orcid.org/0000-0003-1365-8285
Lara Élida Guazzeli de Freitas Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil http://orcid.org/0000-0003-2586-350X
Luzia Beatriz Ribeiro Zago Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil
Cristina da Cunha Hueb Barata de Oliveira Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil
Naiara Clemente Tavares Instituto René Rachou, Belo Horizonte, Minas Gerais, Brazil http://orcid.org/0000-0001-7893-7010
Edward José de Oliveira Instituto René Rachou, Belo Horizonte, Minas Gerais, Brazil http://orcid.org/0000-0002-0042-5178
Marcos Vinícius da Silva Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil http://orcid.org/0000-0002-2966-7621
Luciana de Almeida Silva Teixeira Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil http://orcid.org/0000-0002-7197-0982

DOI:

https://doi.org/10.1590/S1678-9946202264013%20

Keywords:

Dengue, Pulmonary hemorrhage, Viral respiratory syndromes, SARS-COV-2

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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Published

2022-05-16

Issue

Vol. 64 (2022)

Section

Case Report

License

Copyright (c) 2022 Leonardo Antonio Aguiar, Ana Carolina de Morais Oliveira-Scussel, Jerônimo Coelho de Menezes, Priscila Barbosa Idaló, Lara Élida Guazzeli de Freitas, Luzia Beatriz Ribeiro Zago, Cristina da Cunha Hueb Barata de Oliveira, Naiara Clemente Tavares, Edward José de Oliveira, Marcos Vinícius da Silva, Luciana de Almeida Silva Teixeira

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

How to Cite

Aguiar, L. A. ., Oliveira-Scussel, A. C. de M. ., Menezes, J. C. de ., Idaló, P. B. ., Freitas, L. Élida G. de ., Zago, L. B. R. ., Oliveira, C. da C. H. B. de ., Tavares, N. C. ., Oliveira, E. J. de ., Silva, M. V. da ., & Teixeira, L. de A. S. . (2022). Pulmonary hemorrhage in dengue: differential diagnosis with acute viral respiratory syndromes including COVID-19. Revista Do Instituto De Medicina Tropical De São Paulo, 64, e13. https://doi.org/10.1590/S1678-9946202264013

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