해외에서 유입된 뎅기열 1예
A case of imported dengue fever
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27세 남자 환자로 말레이지아에서 1년간 기술직으로 근무하다 휴가차 귀국하여 5일간의 발열, 두통, 오심, 근육통을 주소로 입원하였고, 입원 2일째 전신에 구진상의 피부반점을 보였다. 국립보건원에 의뢰한 혈청검사를 통해 뎅기열로 진단하였고, 수액요법을 포함한 보존요법으로 치료한 증례를 문헌고찰과 함께 보고하는 바이다.
Abstract
Dengue fever (DF) is an acute febrile viral disease frequently presenting with headache, bone or joint and muscular pain, rash and leukopenia. Dengue hemorrhagic fever (DHF) is characterized by four major clinical manifestations: high fever, hemorrhagic phenomena, often with hepatomegaly and in severe cases, signs of circulatory failure. Such patients may develop hypovolemic shock resulting from plasma leakage. This is called dengue shock syndrome (DSS) and can be fatal. The disease is one of the leading causes of hospitalization and death in children in several Asian, central and south American and African countries. Dengue fever and Dengue hemorrhagic fever have steadily increased in both incidence and distribution over the past 40 years. With an increased air travel, more travelers to the tropics and subtropics are returning within the incubation period of acute febrile infection. We experienced a Korean engineer with complaints of fever, chill, headache, nausea and myalgia after return from Malaysia and confirmed as dengue fever.(Korean J Med 62:548-551, 2002)