Data/hora: 10/06/2024 07:34:15

Provedor de dados: 	55	
País: 	Brazil	
Título: 	Aminotransferase changes and acute hepatitis in patients with dengue fever: analysis of 1,585 cases	
Autores: 	Souza,Luiz José de; Alves,José Galvão; Nogueira,Rita Maria Ribeiro; Gicovate Neto,Carlos; Bastos,Diogo Assed; Siqueira,Edno Wallace da Silva; Souto Filho,João Tadeu Damian; Cezário,Thiago de Abreu; Soares,Carlos Eduardo; Carneiro,Rodrigo da Costa.	
Data: 	2004-04-01	
Ano: 	2004	
Palavras-chave: 	Dengue fever; Aminotransferase; Hepatic injury.	
Resumo: 	INTRODUCTION: Type 3 dengue virus caused an extensive epidemic in the state of Rio de Janeiro in summer 2002. In some of the patients, it was found in an atypical form with increased aminotransferase levels and acute hepatitis. MATERIAL AND METHODS: An analysis was made of 1,585 serologically confirmed dengue cases at the Dengue Reference Center in Campos dos Goytacazes, Rio de Janeiro state. The grade of hepatic aggression was established according to the alterations in the aminotransferase levels: grade A - normal levels of aminotransferase; grade B - elevated aminotransferase, with increased levels of at least one of the enzymes; grade C - elevated aminotransferase, with the levels of at least one of the enzymes increased to more than three times the reference values; grade D - acute hepatitis, with aminotransferase levels increased to at least 10 times their normal values. RESULTS: Among the 1,585 serologically confirmed dengue cases, 44.5% presented alterations in the aminotransferase levels (grade B), 16.9% presented grade C liver involvement and 3.8% of the patients had progressed to acute hepatitis (grade D). The average values for the rise in aspartate aminotransferase and alanine aminotransferase were 93.3 U/L and 86.0 U/L. The greatest alterations were observed among females (p&lt;0.001), cases of dengue hemorrhagic fever (p&lt;0.001), and cases with sequential infections (p=0.001). CONCLUSIONS: Liver damage with elevation of aminotransferases and reactive hepatitis was a common complication of dengue virus infection in these patients.	
Tipo: 	Info:eu-repo/semantics/article	
Idioma: 	Inglês	
Identificador: 	http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702004000200006	
Editor: 	Brazilian Society of Infectious Diseases	
Relação: 	10.1590/S1413-86702004000200006	
Formato: 	text/html	
Fonte: 	Brazilian Journal of Infectious Diseases  v.8 n.2 2004	
Fonte: 	info:eu-repo/semantics/openAccess