Dengue Infection in Children in Ratchaburi, Thailand: A Cohort Study. II. Clinical Manifestations
Publication Date
February 28, 2012
Journal
PLOS Neglected Tropical Diseases
Authors
Chukiat Sirivichayakul, Kriengsak Limkittikul, Pornthep Chanthavanich, Vithaya Jiwariyavej, et al
Volume
6
Issue
2
Pages
e1520
DOI
http://doi.org/10.1371/journal.pntd.0001520
Publisher URL
http://journals.plos.org/plosntds/article?id=10.1371%2Fjournal.pntd.0001520
PubMed
http://www.ncbi.nlm.nih.gov/pubmed/22389735
PubMed Central
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3289597
Europe PMC
http://europepmc.org/abstract/MED/22389735
Web of Science
000300949200032
Scopus
84857870143
Mendeley
http://www.mendeley.com/research/dengue-infection-children-ratchaburi-thailand-cohort-study-ii-clinical-manifestations-6
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Mendeley | Further Information

{"title"=>"Dengue infection in children in ratchaburi, thailand: A cohort study. ii. clinical manifestations", "type"=>"journal", "authors"=>[{"first_name"=>"Chukiat", "last_name"=>"Sirivichayakul", "scopus_author_id"=>"7003595817"}, {"first_name"=>"Kriengsak", "last_name"=>"Limkittikul", "scopus_author_id"=>"7801502774"}, {"first_name"=>"Pornthep", "last_name"=>"Chanthavanich", "scopus_author_id"=>"7003615177"}, {"first_name"=>"Vithaya", "last_name"=>"Jiwariyavej", "scopus_author_id"=>"6505685158"}, {"first_name"=>"Watcharee", "last_name"=>"Chokejindachai", "scopus_author_id"=>"6603452780"}, {"first_name"=>"Krisana", "last_name"=>"Pengsaa", "scopus_author_id"=>"6603790082"}, {"first_name"=>"Saravudh", "last_name"=>"Suvannadabba", "scopus_author_id"=>"6602953672"}, {"first_name"=>"Wut", "last_name"=>"Dulyachai", "scopus_author_id"=>"35388232800"}, {"first_name"=>"G. William", "last_name"=>"Letson", "scopus_author_id"=>"7004587353"}, {"first_name"=>"Arunee", "last_name"=>"Sabchareon", "scopus_author_id"=>"7003340169"}], "year"=>2012, "source"=>"PLoS Neglected Tropical Diseases", "identifiers"=>{"issn"=>"19352727", "isbn"=>"1935-2735 (Electronic) 1935-2727 (Linking)", "pmid"=>"22389735", "scopus"=>"2-s2.0-84857870143", "doi"=>"10.1371/journal.pntd.0001520", "sgr"=>"84857870143", "pui"=>"364386318"}, "id"=>"5aa5b836-952a-3dea-987c-dc85d01efac0", "abstract"=>"BACKGROUND Dengue infection is one of the most important mosquito-borne diseases. More data regarding the disease burden and the prevalence of each clinical spectrum among symptomatic infections and the clinical manifestations are needed. This study aims to describe the incidence and clinical manifestations of symptomatic dengue infection in Thai children during 2006 through 2008. STUDY DESIGN This study is a school-based prospective open cohort study with a 9,448 person-year follow-up in children aged 3-14 years. Active surveillance for febrile illnesses was done in the studied subjects. Subjects who had febrile illness were asked to visit the study hospital for clinical and laboratory evaluation, treatment, and serological tests for dengue infection. The clinical data from medical records, diary cards, and data collection forms were collected and analyzed. RESULTS Dengue infections were the causes of 12.1% of febrile illnesses attending the hospital, including undifferentiated fever (UF) (49.8%), dengue fever (DF) (39.3%) and dengue hemorrhagic fever (DHF) (10.9%). Headache, anorexia, nausea/vomiting and myalgia were common symptoms occurring in more than half of the patients. The more severe dengue spectrum (i.e., DHF) had higher temperature, higher prevalence of nausea/vomiting, abdominal pain, rash, diarrhea, petechiae, hepatomegaly and lower platelet count. DHF cases also had significantly higher prevalence of anorexia, nausea/vomiting and abdominal pain during day 3-6 and diarrhea during day 4-6 of illness. The absence of nausea/vomiting, abdominal pain, diarrhea, petechiae, hepatomegaly and positive tourniquet test may predict non-DHF. CONCLUSION Among symptomatic dengue infection, UF is most common followed by DF and DHF. Some clinical manifestations may be useful to predict the more severe disease (i.e., DHF). This study presents additional information in the clinical spectra of symptomatic dengue infection.", "link"=>"http://www.mendeley.com/research/dengue-infection-children-ratchaburi-thailand-cohort-study-ii-clinical-manifestations-6", "reader_count"=>51, "reader_count_by_academic_status"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Student > Doctoral Student"=>4, "Researcher"=>12, "Student > Ph. D. Student"=>10, "Student > Postgraduate"=>4, "Student > Master"=>9, "Other"=>6, "Student > Bachelor"=>4}, "reader_count_by_user_role"=>{"Unspecified"=>1, "Professor > Associate Professor"=>1, "Student > Doctoral Student"=>4, "Researcher"=>12, "Student > Ph. D. Student"=>10, "Student > Postgraduate"=>4, "Student > Master"=>9, "Other"=>6, "Student > Bachelor"=>4}, "reader_count_by_subject_area"=>{"Unspecified"=>2, "Biochemistry, Genetics and Molecular Biology"=>1, "Medicine and Dentistry"=>28, "Agricultural and Biological Sciences"=>15, "Veterinary Science and Veterinary Medicine"=>2, "Pharmacology, Toxicology and Pharmaceutical Science"=>1, "Psychology"=>1, "Immunology and Microbiology"=>1}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>28}, "Psychology"=>{"Psychology"=>1}, "Immunology and Microbiology"=>{"Immunology and Microbiology"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>15}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}, "Unspecified"=>{"Unspecified"=>2}, "Pharmacology, Toxicology and Pharmaceutical Science"=>{"Pharmacology, Toxicology and Pharmaceutical Science"=>1}, "Veterinary Science and Veterinary Medicine"=>{"Veterinary Science and Veterinary Medicine"=>2}}, "reader_count_by_country"=>{"Vietnam"=>1, "United States"=>1, "Brazil"=>1, "Indonesia"=>1, "French Polynesia"=>1}, "group_count"=>9}

Scopus | Further Information

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Figshare

  • {"files"=>["https://ndownloader.figshare.com/files/345563"], "description"=>"<div><h3>Background</h3><p>Dengue infection is one of the most important mosquito-borne diseases. More data regarding the disease burden and the prevalence of each clinical spectrum among symptomatic infections and the clinical manifestations are needed. This study aims to describe the incidence and clinical manifestations of symptomatic dengue infection in Thai children during 2006 through 2008.</p> <h3>Study Design</h3><p>This study is a school-based prospective open cohort study with a 9,448 person-year follow-up in children aged 3–14 years. Active surveillance for febrile illnesses was done in the studied subjects. Subjects who had febrile illness were asked to visit the study hospital for clinical and laboratory evaluation, treatment, and serological tests for dengue infection. The clinical data from medical records, diary cards, and data collection forms were collected and analyzed.</p> <h3>Results</h3><p>Dengue infections were the causes of 12.1% of febrile illnesses attending the hospital, including undifferentiated fever (UF) (49.8%), dengue fever (DF) (39.3%) and dengue hemorrhagic fever (DHF) (10.9%). Headache, anorexia, nausea/vomiting and myalgia were common symptoms occurring in more than half of the patients. The more severe dengue spectrum (i.e., DHF) had higher temperature, higher prevalence of nausea/vomiting, abdominal pain, rash, diarrhea, petechiae, hepatomegaly and lower platelet count. DHF cases also had significantly higher prevalence of anorexia, nausea/vomiting and abdominal pain during day 3–6 and diarrhea during day 4–6 of illness. The absence of nausea/vomiting, abdominal pain, diarrhea, petechiae, hepatomegaly and positive tourniquet test may predict non-DHF.</p> <h3>Conclusion</h3><p>Among symptomatic dengue infection, UF is most common followed by DF and DHF. Some clinical manifestations may be useful to predict the more severe disease (i.e., DHF). This study presents additional information in the clinical spectra of symptomatic dengue infection.</p> </div>", "links"=>[], "tags"=>["dengue", "children", "cohort", "manifestations"], "article_id"=>128304, "categories"=>["Medicine"], "users"=>["Chukiat Sirivichayakul", "Kriengsak Limkittikul", "Pornthep Chanthavanich", "Vithaya Jiwariyavej", "Watcharee Chokejindachai", "Krisana Pengsaa", "Saravudh Suvannadabba", "Wut Dulyachai", "G. William Letson", "Arunee Sabchareon"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001520"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/Dengue_Infection_in_Children_in_Ratchaburi_Thailand_A_Cohort_Study_II_Clinical_Manifestations/128304", "title"=>"Dengue Infection in Children in Ratchaburi, Thailand: A Cohort Study. II. Clinical Manifestations", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-02-28 02:18:24"}
  • {"files"=>["https://ndownloader.figshare.com/files/675497"], "description"=>"<p>The prevalence of common symptoms in dengue infection by the day of illness.</p>", "links"=>[], "tags"=>["prevalence", "symptoms", "dengue"], "article_id"=>345975, "categories"=>["Medicine"], "users"=>["Chukiat Sirivichayakul", "Kriengsak Limkittikul", "Pornthep Chanthavanich", "Vithaya Jiwariyavej", "Watcharee Chokejindachai", "Krisana Pengsaa", "Saravudh Suvannadabba", "Wut Dulyachai", "G. William Letson", "Arunee Sabchareon"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001520.g001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_prevalence_of_common_symptoms_in_dengue_infection_by_the_day_of_illness_/345975", "title"=>"The prevalence of common symptoms in dengue infection by the day of illness.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-02-28 01:39:35"}
  • {"files"=>["https://ndownloader.figshare.com/files/675662"], "description"=>"<p>Hematocrit, peripheral white blood cell and platelet count in dengue infected patients.</p>", "links"=>[], "tags"=>["peripheral", "platelet", "dengue", "infected"], "article_id"=>346135, "categories"=>["Medicine"], "users"=>["Chukiat Sirivichayakul", "Kriengsak Limkittikul", "Pornthep Chanthavanich", "Vithaya Jiwariyavej", "Watcharee Chokejindachai", "Krisana Pengsaa", "Saravudh Suvannadabba", "Wut Dulyachai", "G. William Letson", "Arunee Sabchareon"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001520.g002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Hematocrit_peripheral_white_blood_cell_and_platelet_count_in_dengue_infected_patients_/346135", "title"=>"Hematocrit, peripheral white blood cell and platelet count in dengue infected patients.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2012-02-28 01:42:15"}
  • {"files"=>["https://ndownloader.figshare.com/files/675757"], "description"=>"a<p>significantly more common in DHF compared to DF and UF, but no difference between UF and DF.</p>b<p>significantly less common in UF compared to DF and DHF, but no difference between DF and DHF.</p>c<p>significantly more common in DHF compared to DF and UF, and more common in DF compared to UF.</p>", "links"=>[], "tags"=>["dengue"], "article_id"=>346235, "categories"=>["Medicine"], "users"=>["Chukiat Sirivichayakul", "Kriengsak Limkittikul", "Pornthep Chanthavanich", "Vithaya Jiwariyavej", "Watcharee Chokejindachai", "Krisana Pengsaa", "Saravudh Suvannadabba", "Wut Dulyachai", "G. William Letson", "Arunee Sabchareon"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001520.t002"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Symptoms_of_dengue_infection_n_/346235", "title"=>"Symptoms of dengue infection [n (%)].", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-02-28 01:43:55"}
  • {"files"=>["https://ndownloader.figshare.com/files/675802"], "description"=>"<p>Symptoms and disease severity from different dengue serotypes [n (%)].</p>", "links"=>[], "tags"=>["severity", "dengue", "serotypes"], "article_id"=>346286, "categories"=>["Medicine"], "users"=>["Chukiat Sirivichayakul", "Kriengsak Limkittikul", "Pornthep Chanthavanich", "Vithaya Jiwariyavej", "Watcharee Chokejindachai", "Krisana Pengsaa", "Saravudh Suvannadabba", "Wut Dulyachai", "G. William Letson", "Arunee Sabchareon"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001520.t003"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Symptoms_and_disease_severity_from_different_dengue_serotypes_n_/346286", "title"=>"Symptoms and disease severity from different dengue serotypes [n (%)].", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-02-28 01:44:46"}
  • {"files"=>["https://ndownloader.figshare.com/files/675843"], "description"=>"a<p>Statistically significant difference.</p>", "links"=>[], "tags"=>["uf"], "article_id"=>346323, "categories"=>["Medicine"], "users"=>["Chukiat Sirivichayakul", "Kriengsak Limkittikul", "Pornthep Chanthavanich", "Vithaya Jiwariyavej", "Watcharee Chokejindachai", "Krisana Pengsaa", "Saravudh Suvannadabba", "Wut Dulyachai", "G. William Letson", "Arunee Sabchareon"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001520.t001"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Clinical_diagnosis_of_UF_cases_/346323", "title"=>"Clinical diagnosis of UF cases.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-02-28 01:45:23"}
  • {"files"=>["https://ndownloader.figshare.com/files/675888"], "description"=>"<p>Occurrence of selected clinical manifestations [n/total] and their predictive value (%) for DHF among dengue infected cases.</p>", "links"=>[], "tags"=>["manifestations", "predictive", "dhf", "dengue", "infected"], "article_id"=>346366, "categories"=>["Medicine"], "users"=>["Chukiat Sirivichayakul", "Kriengsak Limkittikul", "Pornthep Chanthavanich", "Vithaya Jiwariyavej", "Watcharee Chokejindachai", "Krisana Pengsaa", "Saravudh Suvannadabba", "Wut Dulyachai", "G. William Letson", "Arunee Sabchareon"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001520.t006"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Occurrence_of_selected_clinical_manifestations_n_total_and_their_predictive_value_for_DHF_among_dengue_infected_cases_/346366", "title"=>"Occurrence of selected clinical manifestations [n/total] and their predictive value (%) for DHF among dengue infected cases.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-02-28 01:46:06"}
  • {"files"=>["https://ndownloader.figshare.com/files/675934"], "description"=>"<p>ND = no data.</p>a<p>include both myalgia and arthralgia.</p>", "links"=>[], "tags"=>["prevalence", "manifestation", "dengue", "diseases"], "article_id"=>346410, "categories"=>["Medicine"], "users"=>["Chukiat Sirivichayakul", "Kriengsak Limkittikul", "Pornthep Chanthavanich", "Vithaya Jiwariyavej", "Watcharee Chokejindachai", "Krisana Pengsaa", "Saravudh Suvannadabba", "Wut Dulyachai", "G. William Letson", "Arunee Sabchareon"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001520.t007"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_prevalence_of_clinical_manifestation_of_dengue_diseases_from_previous_studies_/346410", "title"=>"The prevalence (%) of clinical manifestation of dengue diseases from previous studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-02-28 01:46:50"}
  • {"files"=>["https://ndownloader.figshare.com/files/675981"], "description"=>"<p>NA = not applicable.</p>a<p>significantly more common in DHF compared to DF and UF, but no difference between DF and UF.</p>b<p>significantly less common in UF compared to DF and DHF, but no difference between DF and DHF.</p>c<p>significantly more common in UF compared to DF and DHF, but no difference between DF and DHF.</p>d<p>significantly less common in DF compared to UF and DHF, but no difference between UF and DHF.</p>", "links"=>[], "tags"=>["dengue", "infected", "patients", "had", "prolonged"], "article_id"=>346461, "categories"=>["Medicine"], "users"=>["Chukiat Sirivichayakul", "Kriengsak Limkittikul", "Pornthep Chanthavanich", "Vithaya Jiwariyavej", "Watcharee Chokejindachai", "Krisana Pengsaa", "Saravudh Suvannadabba", "Wut Dulyachai", "G. William Letson", "Arunee Sabchareon"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001520.t004"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_The_number_of_dengue_infected_patients_who_had_prolonged_symptom_for_3_or_more_days_n_/346461", "title"=>"The number of dengue infected patients who had prolonged symptom (for 3 or more days) [n (%)].", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-02-28 01:47:41"}
  • {"files"=>["https://ndownloader.figshare.com/files/676018"], "description"=>"a<p>significantly less common in UF compared to DF and DHF, but no difference between DF and DHF.</p>b<p>significantly more common in DHF compared to DF and UF, and more common in DF compared to UF.</p>", "links"=>[], "tags"=>["findings", "dengue", "observed"], "article_id"=>346500, "categories"=>["Medicine"], "users"=>["Chukiat Sirivichayakul", "Kriengsak Limkittikul", "Pornthep Chanthavanich", "Vithaya Jiwariyavej", "Watcharee Chokejindachai", "Krisana Pengsaa", "Saravudh Suvannadabba", "Wut Dulyachai", "G. William Letson", "Arunee Sabchareon"], "doi"=>["https://dx.doi.org/10.1371/journal.pntd.0001520.t005"], "stats"=>{"downloads"=>0, "page_views"=>0, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Physical_findings_in_dengue_infection_n_number_observed_/346500", "title"=>"Physical findings in dengue infection [n/number observed (%)].", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2012-02-28 01:48:20"}

PMC Usage Stats | Further Information

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Relative Metric

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