Analysis of Clinical Characteristics and Causes of Diagnostic Errors of Dengue Fever in Foshan District in the Au-tumn of 2014
TAN Xiao-jun
HE Rui-hua
WANG Jian-hua
WU Ji
Abstract：Objective To analyze clinical characteristics and the causes of diagnostic errors of Dengue Fever in re-cent years. It is of great significance to improve the initial diagnostic rate of Dengue Fever with atypical symptoms. Methods The clinical data of the patients of Dengue Fever treated in Chancheng District Hospital of Foshan during September and December 2014 were collected and analyzed. Results 20 out of 67 cases (29. 9%)were complicated with existing physical illnesses and 18 cases (26. 9%) with past medical history. The patients visited doctors within (3. 9 ±1. 6)d after symptoms occurred. Muscle pain, headache, extreme fatigue and abnormal liver function were typical symptoms in most of the cases, 68. 7% of all the patients came with obvious gastrointestinal symptoms, and 25. 4% of them complained about respiratory symptoms. There were 14 cases (20. 9%) initially misdiagnosed as upper respiratory tract infection, gastroenteritis, cholangitis and hepatitis. One case missed diagnosis. All the patients complained of WS216-2008 diagnostic standard of Dengue Fever and completely recovered after comprehensive treatment with no mortality. Conclusion In the epidemic season of Dengue Fever, we should pay more attention to the pyretic patients with non-specific symptoms of digestive tract or respiratory tract for possible Dengue Fever and to avoid co-infection and prevent misdiagnosis and missed diagnosis.
Keywords：Dengue FeverDiagnostic errorRespiratory tract infectionGastroenteritisHepatitis
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 51-53 )