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Clinical outcomes of hospitalized patients with chikungunya fever: A retrospective analysis

Asian Pacific Journal of Tropical Medicine 2021年第4期14卷 183-186页

作者： Lucas Lobo Mesquita Enio Simas Macedo Sergio Luiz Arruda Parente Filho Francisca Lillyan Christyan Nunes Beserra evelyne santana girao Juliana Mandato Ferragut Roberto da Justa Pires Neto Geraldo Bezerra da Silva Junior Elizabeth De Francesco Daher School of Medicine Federal University of CearaFortalezaCearaBrazil Hospital Regional da Unimed FortalezaCearaBrazil Intensive Care Unit Hospital Sao CarlosFortalezaCearaBrazil Department of Public Health School of MedicineFederal University of CearaFortalezaCearaBrazil Public Health and Medical Sciences Post-Graduation Programs School of MedicineHealth Sciences CenterUniversity of Fortaleza.FortalezaCearaBrazil Medical Sciences Post Graduate Program Department of Internal MedicineSchool of MedicineFederal University of Ceara.FortalezaCearáBrazil

Objective:To describe the prognostic and clinical profile of hospitalized patients with chikungunya virus(CHIKV)infection focusing on renal ***:This is a cross-sectional study including all patients with confirmed chikungunya fever(CHIKF)admitted to 3 different highcomplexity hospitals in Fortaleza,Brazil between January 2016 and June *** analysis was carried out to evaluate correlation between clinical profile and ***:Fifty-five patients were included,with a median age of 77(IQR=21)years,and 23(41.82%)were ***-five patients(45.45%,25/55)developed acute kidney injury(AKI),and 15(60.00%,15/25)were classified as KDIGO 1,1(4.00%)as KDIGO 2,and 9(36.00%)as KDIGO *** overall mortality was 34.54%whilst AKI-related mortality was 64.00%(16/25).Both AKI and encephalitis were associated with higher *** who died were significantly older[82(IQR=12)years vs.70(IQR=28.75)years,P<0.001].In the multivariate analysis,abdominal pain was associated with an increased risk of severe AKI(OR=5.33,95%CI=1.11–25.64,P=0.037)and AKI was an independent risk factor of death(OR=12.06,95%CI=2.55–57.15,P=0.002).Recovery of renal function was similar among the different age ***:AKI is present in half of the study population and is an independent risk factor of ***,renal function should be carefully monitored in hospitalized patients with CHIKV infection.

关键词： Arbovirus infections Chikungunya fever Acute kidney injury Elderly Mortality

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Dengue in renal transplant recipients: Clinical course and impact on renal function

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World Journal of Transplantation 2017年第1期7卷 57-63页

作者： Paula Frassinetti Castelo Branco Camur?a Fernandes Reed AndréSiqueira evelyne santana Gir?o Rainne AndréSiqueira Márcia Uchoa Mota Leyla Castelo Branco Fernandes Marques Silvana Cristina Albuquerque Andrade Wilson Mendes Barroso S?nia Leite Silva Bruno Gomes Rodrigues dos Santos Claúdia Maria Costa de Oliveira Kidney Transplant Unit Hospital Universitário Walter Cantídio Universidade Federal do Ceará Department of Nephrology of Universidade Estadual do Ceará Universidade Estadual do Ceará

AIM To present clinical characteristics from renal transplant recipients with dengue fever and its impact on graft *** We retrospectively evaluated 11 renal transplant recipients(RTR) with dengue infection confirmed by laboratory test, between January 2007 and July 2012, transplanted in the Renal Transplant Center of Walter Cantídio University Hospital from Federal University of Ceará. RESULTS Positive dengue serology(IgM) was found in all patients. The mean time between transplant and dengue infection was 43 mo. Fever was presented in all patients. Nine patients presented with classical dengue and two(18%) with dengue hemorrhagic fever. All cases had satisfactory evolution with complete recovery of the symptoms. The time for symptom resolution varied from 2 to 20 d, with an average of 9 d. An increase of creatinine after the infection was observed in three(27.2%) patients with no clinically impact on the kidney graft function. CONCLUSION RTR with dengue infection seems to have a clinical presentation and evolution similar to those seen in the general population, with no long-term damage to patient and to the graft.

关键词： Kidney Renal Transplant Dengue Clinical Brazil

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