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Biomedical subjects

G Kourí

Publications and source records attributed to G Kourí.

33 records · Page 2Linked to original sources

[Dengue fever and hemorrhagic dengue in infants with a primary infection].

The aim of this work was to offer a description of the clinical manifestations developed by patients under 1 year who had dengue virus infection and dengue hemorrhagic fever during the epidemic which broke out in 1981, and to determine if the passive transfer of maternal dengue antibodies to the fetuses influenced the occurrence of a severe development of the disease, through a retrospective study. In 20 cases, type 2 dengue virus infection was confirmed. Eight patients showed the clinical manifestations of dengue hemorrhagic fever of dengue shock syndrome (DHF/DSS), and the other 12 had the typical dengue virus infection. The former were of the white racial phenotype, aged under 6 months. There was a predominance of type 1 dengue antibodies in the mothers of children with DHF/DSS. Fever, rash, vomiting and diarrheas (not frequent) appeared in the two clinical manifestations of the infection; blood leukocytes were predominantly lymphocytic; and erythrocyte sedimentation was always normal. Patients with DHF/DSS presented with some bleeding (87.5%); cyanosis and ascites (37.5%); and shock (25%), as well as hepatomegaly. All these infants with DHF/DSS had thrombocytopenia and most of them showed hemoconcentration. No deaths occurred.

Adult↗

[The estimation of the economic damages caused as a consequence of the epidemic of hemorrhagic dengue in Cuba in 1981].

In order to warn the health authorities in our region about the economic damages that a hemorrhagic dengue epidemic may cause, it was decided to study and publish the estimated cost of the Cuban epidemic in 1981, during which 344,203 diseased were reported, 10312 severe cases and 158 deceased. Economic costs include hospitalization expenses, assistance in emergency units, social security, expenses in out-patient treatment, goods not produced and expenses in the anti-vector campaign. Probably, this epidemic which could be controlled in about 4 months, has been the one causing most economic damages to date.

Adolescent↗

Reemergence of dengue in Cuba: a 1997 epidemic in Santiago de Cuba.

After 15 years of absence, dengue reemerged in the municipality of Santiago de Cuba because of increasing migration to the area by people from disease-endemic regions, a high level of vector infestation, and the breakdown of eradication measures. The 1997 epidemic was detected early through an active surveillance system. Of 2,946 laboratory-confirmed cases, 205 were dengue hemorrhagic fever, and 12 were fatal. No deaths were reported in persons under 16 years of age. Now the epidemic is fully controlled.

Aedes↗

[Emerging viral diseases].

In the last few years an increasing rise of new infectious diseases or of other diseases considered to be under control has been observed. The so called emerging and reemerging diseases are those new infections that have come up in a population or those existing diseases which incidence and geographic extension are on a rapid increase. Factors such as social and economic situations, medical assistance, food production, changes in human behaviours, environmental changes, health systems deterioration, and adaptation and changes of microorganisms are related with the emergence or reemergence of a number of entities. This paper sets forth an analysis of the emergence and reemergence of viral diseases and of those factors that have had an impact on this situation.

Adult↗