<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1996-3696</journal-id>
<journal-title><![CDATA[Revista del Instituto de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Inst. Med. Trop.]]></abbrev-journal-title>
<issn>1996-3696</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Medicina Tropical]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1996-36962020000200019</article-id>
<article-id pub-id-type="doi">10.18004/imt/2020.15.2.19</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Complicaciones asociadas a trombocitopenia severa en pacientes con dengue]]></article-title>
<article-title xml:lang="en"><![CDATA[Complications associated with severe thrombocytopenia in patients with dengue]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lovera]]></surname>
<given-names><![CDATA[Dolores]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Amarilla]]></surname>
<given-names><![CDATA[Sara]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Galeano]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-de Cuellar]]></surname>
<given-names><![CDATA[Celia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González-Perrotta]]></surname>
<given-names><![CDATA[Nicolás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Apodaca]]></surname>
<given-names><![CDATA[Silvio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguiar]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Arbo]]></surname>
<given-names><![CDATA[Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Medicina Tropical Departamento de Pediatría ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>15</volume>
<numero>2</numero>
<fpage>19</fpage>
<lpage>28</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S1996-36962020000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S1996-36962020000200019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S1996-36962020000200019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción.  La plaquetopenia severa representa un reconocido signo de alarma del dengue.  Objetivo.  Determinar la relación entre el recuento de plaquetas y severidad del dengue en niños.  Metodología.  Niños menores de 15 años hospitalizados con el diagnóstico de dengue entre los años 2007-2018 fueron evaluados en el recuento de plaquetas y severidad de la enfermedad. Los pacientes fueron divididos en 2 grupos, según que el recuento de plaquetas fuera mayor o menor de 100.000/mm3.  Resultados.  Ochocientos ochenta y dos pacientes hospitalizados con dengue fueron incluidos en el estudio, con una edad media 9,7 ± 4,6 años, e igual distribución de sexo: 437 (49,5%) del sexo femenino y 445 (50,5%) del sexo masculino. El 62,4% (550 pts) presentaron plaquetas &#8804;100.000/mm3. No hubo diferencias en la frecuencia de fiebre (99% vs 98%), cefalea (54% vs 62%), exantema (38% vs 34%) y mialgias (42% vs 47%) entre aquellos pacientes con plaquetas &lt;100.000/mm3 vs &gt;100.000/mm3. Sin embargo, la frecuencia de sangrados (28% vs 26%, p&lt;0,01; OR=1,61, 95% IC 1,16-2.23), vómitos (64% vs 57%, p&lt;0,001; OR=2,35; 95% IC 1,78-3,11), dolor abdominal (64% vs 58%, p&lt;0,001; OR 2,16, 95% IC 1,64-2,85) choque (53% vs 41%; p&lt;0,001; OR=2,39; IC95% 1,79-3,18), hepatitis (definido como incremento de las trasaminasas &gt;3 veces lo normal) (10% vs 2%; p&lt;0,0001; OR=7,41; 95% IC 2,93-18,70), la presencia de extravasación (49% vs 4%; p&lt;0,0001; OR 27,7; 95% IC 14,86-51,57), e ingreso a UTI (11% vs 0,4%, p&lt;0,0001; OR 41,29; 95% IC 5,69-299,33) fue mayor en los pacientes con plaquetas &lt;100.000/mm3.  Conclusiones.  El presente estudio muestra que la severidad del dengue es mayor en pacientes con dengue con plaquetas &lt;100.000/mm3 y que las complicaciones están influenciadas por la misma.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction. Severe platelet disease is a recognized warning sign of dengue.  Objective.  To determine the relationship between platelet count and dengue severity in children.  Methodology.  Children younger than 15 years hospitalized with the diagnosis of dengue between 2007-2018 were evaluated for the platelet`s count and severity of the disease. The patients were divided into 2 groups, according to whether the count o platelets was greater or less than 100,000 / mm3.  Results.  Eight hundred eighty two hospitalized patients with dengue were included in the study, with a mean age of 9.7 ± 4.6 years, and the same sex distribution: (437 (49.5%) female and 445 (50.5%) male. Sixty-two % (550 pts) presented platelets &#8804;100,000 / mm3. There were no differences in the frequency of fever (99% vs. 98%), headache (54% vs. 62%), rash (38% vs. 34%) and myalgia (42% vs. 47%) among those patients with platelets &lt;100,000 / mm3 vs &gt; 100,000 / mm3. However, the frequency of bleeding (28% vs 26%, p &lt;0.01; OR = 1.61, 95% CI 1.16-2.23), vomiting ( 64% vs 57%, p &lt;0.001; OR = 2.35, 95% CI 1.78-3.11), abdominal pain (64% vs 58%, p &lt;0.001; OR 2.16, 95% CI 1.64-2.85) shock (53% vs 41%; p &lt;0.001; OR = 2.39, 95% CI 1.79-3.18), hepatitis (defined as an increase in transaminases&gt; 3 times normal) (10% vs 2%; p &lt;0.0001; OR = 7.41, 95% CI 2.93-18.70), the presence of extravasations (49% vs. 4%; p &lt;0.0001; OR 27.7, 95% CI 14.86-51.57), and admission to ICU (11% vs. 0.4%, p &lt;0.0001; OR 41.29, 95 % CI 5.69-299.33) it was higher in patients with platelets &lt;100,000 / mm3.  Conclusions.  The present study shows that dengue severity is higher in dengue patients with platelets &lt;100,000 / mm3 and those complications are influenced by it.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dengue]]></kwd>
<kwd lng="es"><![CDATA[trombocitopenia]]></kwd>
<kwd lng="es"><![CDATA[niños]]></kwd>
<kwd lng="en"><![CDATA[Dengue]]></kwd>
<kwd lng="en"><![CDATA[thrombocytopenia]]></kwd>
<kwd lng="en"><![CDATA[children]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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