Pediatric Infection and Vaccine

The Korean Society of Pediatric Infectious Diseases (대한소아감염학회)
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Two Pediatric Cases of Dengue Fever Imported from Philippines

필리핀에서 유입된 소아 뎅기열 2례

  • Oh, Mi Ae (Department of Paediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shim, Jae Won (Department of Paediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Kim, Duk Soo (Department of Paediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Jung, Hye Lim (Department of Paediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Park, Moon Soo (Department of Paediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine) ;
  • Shim, Jung Yeon (Department of Paediatrics, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
  • 오미애 (성균관대학교 의과대학 강북삼성병원 소아청소년과) ;
  • 심재원 (성균관대학교 의과대학 강북삼성병원 소아청소년과) ;
  • 김덕수 (성균관대학교 의과대학 강북삼성병원 소아청소년과) ;
  • 정혜림 (성균관대학교 의과대학 강북삼성병원 소아청소년과) ;
  • 박문수 (성균관대학교 의과대학 강북삼성병원 소아청소년과) ;
  • 심정연 (성균관대학교 의과대학 강북삼성병원 소아청소년과)
  • Received : 2013.03.13
  • Accepted : 2013.05.03
  • Published : 2013.08.25
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Abstract

Dengue fever is an important health problem for international travelers to all endemic areas. The steadily increasing numbers of tourists visiting endemic areas raise the risk of exposure, and imported dengue cases are increasingly observed in nonendemic area. Dengue has a wide spectrum of clinical presentations, often with unpredictable clinical evolution and outcome. While most patients recover following a self-limiting, non-severe clinical course, a small proportion progress to severe disease such as dengue hemorrhagic fever or dengue shock syndrome. Therefore, it is important to suspect dengue fever in every febrile patient returning from the tropics. Whenever it is suspected, a quick diagnosis and adequate managements are essential to avoid complications. We report two cases of imported dengue fever in Korean children presenting with fever, headache, nausea, and rash.

뎅기열은 아시아, 남태평양 지역, 아프리카, 아메리카 대륙의 열대지방에 걸쳐 널리 발생하며, 이러한 유행지역으로부터 돌아온 여행자들에게 중요한 감염 질환의 하나로 부각되고 있다. 풍토지역을 방문하는 여행자의 점차적인 증가로 뎅기 바이러스에 대한 노출의 위험도가 증가하고 있으며, 이로 인해 해외에서 유입되는 뎅기 감염 사례가 증가하고 있다. 뎅기열은 다양한 임상 양상을 나타내며, 종종 예측할 수 없는 임상 증상과 결과를 초래하기도 한다. 대부분의 감염자들은 저절로 회복되거나 경한 증상을 보이지만, 일부에서는 뎅기 출혈열이나 뎅기 쇼크와 같은 심각한 경과를 보이기도 한다. 따라서 뎅기열 유행지역 방문자가 발열을 보이는 경우 뎅기열을 의심하는 것은 중요하며, 일단 의심이 되면 신속한 진단과 적절한 치료를 통해 합병증을 예방하는 것이 중요하다. 저자들은 뎅기열 유행지역을 여행한 소아에서 발열, 두통, 구역, 발진 등이 발생하여 시행한 혈청검사에서 뎅기열로 진단된 2례를 경험하였기에 보고하는 바이다.

Keywords

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