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REFERRAL PATTERN OF LEPTOSPIROSIS CASES DURING A LARGE URBAN EPIDEMIC OF DENGUE.
Leptospirose/diagnóstico
Referência e Consulta
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Adulto
Idoso
Criança
Pré-Escolar
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Humanos
Masculino
Meia-Idade
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Affilliation
School of Public Health. University of California. Warren Hall. Berkeley, CA
Hospital Couto Maia. Secretary of Health for the State of Bahia. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Hospital Couto Maia. Secretary of Health for the State of Bahia. Salvador, BA, Brasil
School of Public Health. University of California. Warren Hall. Berkeley, CA
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil / Weill Medical College of Cornell University. New York, NY
Hospital Couto Maia. Secretary of Health for the State of Bahia. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Hospital Couto Maia. Secretary of Health for the State of Bahia. Salvador, BA, Brasil
School of Public Health. University of California. Warren Hall. Berkeley, CA
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisa Gonçalo Moniz. Salvador, BA, Brasil / Weill Medical College of Cornell University. New York, NY
Abstract
During heavy seasonal rainfall in 1996, concurrent epidemics of dengue and leptospirosis occurred in
an urban center in northeastern Brazil. We interviewed 110 cases of leptospirosis hospitalized a median of seven days
after the onset of illness to evaluate the impact of the dengue epidemic on the triage of suspected leptospirosis from
ambulatory clinics to the infectious disease reference hospital. Within the first three days of illness, 46 (42%) cases
sought their first medical evaluation, and 28 (61% of 46) received a diagnosis of dengue. Dengue diagnoses were
associated with a median of five days delay in referral to the infectious disease hospital. Patients who reported initial
diagnoses of dengue were more likely than other patients to have required admission to the intensive care unit (odds
ratio [OR] 2.7, 95% confidence interval [CI] 0.8–9.5) and to have died during hospitalization (OR 5.1, 95%
CI 0.8–55.0). These findings indicate that diagnostic confusion between the early symptoms of leptospirosis and
dengue may have contributed to the high mortality observed during the leptospirosis epidemic
DeCS
During heavy seasonal rainfall in 1996, concurrent epidemics of dengue and leptospirosis occurred inLeptospirose/diagnóstico
Referência e Consulta
Adolescente
Adulto
Idoso
Criança
Pré-Escolar
Feminino
Humanos
Masculino
Meia-Idade
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