Ultrasound measurement of gallbladder wall thickening as a diagnostic test and prognostic indicator for severe dengue in pediatric patients

被引:48
作者
Colbert, James A.
Gordon, Aubree
Roxelin, Rigoberto
Silva, Sheyla
Silva, Javier
Rocha, Crisanta
Harris, Eva
机构
[1] Univ Calif Berkeley, Sch Publ Hlth, Div Infect Dis, Berkeley, CA 94720 USA
[2] Stanford Univ, Sch Med, Stanford, CA 94305 USA
[3] Univ Calif Berkeley, Sch Publ Hlth, Div Infect Dis & Epidemiol, Berkeley, CA 94720 USA
[4] Hosp Infantil Manuel Jesus Rivera, Infect Dis Unit, Managua, Nicaragua
关键词
dengue; dengue hemorrhagic fever; gallbladder wall thickening; ultrasound; prognostic indicator;
D O I
10.1097/INF.0b013e3180619692
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Gallbladder wall thickening measured by ultrasound was significantly associated with severe dengue, as well as with hallmark features of thrombocytopenia and elevated hematocrit/hemoconcentration, in children with suspected dengue in Nicaragua. We demonstrate that gallbladder wall thickening serves as a clinically relevant diagnostic test and prognostic indicator of severe dengue in pediatric populations.
引用
收藏
页码:850 / 852
页数:3
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