Efeitos vasomotores do vírus da dengue em pediatria: um relato de caso

Abstract

Introduction: Dengue is one of the most prevalent viral diseases worldwide, representing a significant challenge to public health, especially in tropical regions. Objectives: to conduct a literature review of the last 10 years and report a case that occurred in a pediatric unit. Methods: the following databases were used: Pubmed, Google Scholar and Medline, and pertinent articles were selected and submitted to a detailed analysis. To support this article, a case report was carried out, followed at a university hospital, of a child who presented a vasomotor phenomenon after infection with the Dengue virus. For this study, the informed consent form (ICF) was applied to the child's guardian and a review of the medical records was carried out. Results: highlighted the importance of a differentiated approach in children due to the variability in the clinical presentation of the disease and emphasized the influence of immunological and physiological factors in the body's response to infection by the dengue virus. In the case report analyzed, the investigation progressed to discover the reason for the vasomotor phenomena in question, with the most common diagnostic possibilities of cyanosis being exhausted, the post-dengue vasomotor phenomenon was suggested, with good evolution in the outcome. Discussion: there is a need for additional research to fill gaps in the literature and improve the management of the disease in pediatric patients. For clinical practice, it is important to have a comprehensive understanding of the vasomotor effects of dengue in children to improve clinical outcomes and reduce the burden of the disease, requiring a comprehensive investigation to rule out other causes. Final Considerations: given the high prevalence of the theme, the importance of preventing dengue in children is highlighted, emphasizing environmental control measures, significant advances in vaccine research and approach and evaluation of the patient in the initial phase of the disease. The importance of continued research in this area and collaboration between researchers, health professionals and public policy makers must be reinforced.