A suspected case of hemorrhagic fever with renal syndrome complicated with dengue fever in Longhua District, Shenzhen
10.3760/cma.j.cn231583-20200917-00247
- VernacularTitle:深圳市龙华区一例肾综合征出血热疑似合并登革热的病例报告
- Author:
Hongbiao CHEN
1
;
Wenqiao HE
;
Xiaofeng ZHOU
;
Weijun PENG
;
Qing CHEN
Author Information
1. 深圳市龙华区疾病预防控制中心流行病与传染病控制科 518109
- Keywords:
Dengue fever;
Hemorrhagic fever with renal syndrome;
Co-infection
- From:
Chinese Journal of Endemiology
2021;40(12):1021-1023
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate and analyze a suspected case of hemorrhagic fever with renal syndrome (HFRS) complicated with dengue fever (DF) in Longhua District of Shenzhen City, so as to improve the level of diagnosis and monitoring of such case.Methods:The morbidity and treatment data of this case were analyzed retrospectively, and the results of blood routine, urine routine, dengue virus and Hantavirus antibody, nucleic acid test and other laboratory tests were collected, the epidemiological analysis included the history of travel, mosquito bite and rodent contact was did.Results:This case was 25-year-old male presented with fever (maximum body temperature 39.4 ℃), chills and fatigue. On the 5th day, he developed oliguria. The clinical laboratory results showed that the platelet count decreased, the urine routine was detected, and the sediment tube type was 86.32 μl. The serum samples were tested, positive for dengue virus NS1 antigen and IgM antibody, negative for viral nucleic acid; positive for IgM antibody of Hantavirus, positive for Hantavirus nucleic acid. This case had a history of contact with mice without any protection, no obvious epidemiological history of DF, this patient might be a suspected case of HFRS with DF.Conclusions:This patient may be a suspected case of HFRS with DF. The infectious source of HFRS is suspected to be rats.
