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dc.contributor.authorRaposo, Camila Cristina Bastos Silvapt_BR
dc.contributor.authorSantos, João Barberinopt_BR
dc.contributor.authorSantos, Gisele Maria Campelo dospt_BR
dc.contributor.authorGonçalves, Eloísa da Graça do Rosáriopt_BR
dc.contributor.authorSilva, Antônio Rafael dapt_BR
dc.date.accessioned2017-12-07T05:02:24Z-
dc.date.available2017-12-07T05:02:24Z-
dc.date.issued2013-02pt_BR
dc.identifier.citationRAPOSO, Camila Cristina Bastos Silva et al. Plasmodium vivax malaria: related factors to severity in the State of Maranhão, Brazil. Revista da Sociedade Brasileira de Medicina Tropical, Uberaba, v. 46, n. 1, p. 67-72, jan./fev. 2013. DOI: https://doi.org/10.1590/0037-868212382013. Disponível em: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000100067&lng=en&tlng=en. Acesso em: 08 set. 2020.pt_BR
dc.identifier.urihttp://repositorio.unb.br/handle/10482/28689-
dc.language.isoenpt_BR
dc.publisherSociedade Brasileira de Medicina Tropical - SBMTpt_BR
dc.rightsAcesso Abertopt_BR
dc.titlePlasmodium vivax malaria : related factors to severity in the State of Maranhão, Brazilpt_BR
dc.typeArtigopt_BR
dc.subject.keywordMalária - Brasilpt_BR
dc.subject.keywordGravidadept_BR
dc.subject.keywordPlasmodium vivaxpt_BR
dc.subject.keywordMalária - Maranhão - epidemiologiapt_BR
dc.rights.licenseRevista da Sociedade Brasileira de Medicina Tropical - (CC BY-NC) - This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Fonte: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822013000100067&lng=en&tlng=en. Acesso em: 08 set. 2020.-
dc.identifier.doihttps://dx.doi.org/10.1590/0037-868212382013pt_BR
dc.description.abstract1INTRODUCTION: Malaria caused by Plasmodium vivax species has shown signs of severity, recorded with increasing frequency in the medical literature. This study aimed to characterize the signs of severe malaria by Plasmodium vivax in the State of Maranhão, Brazil. METHODS: A descriptive cohort study of patients assisted in the field and a historical and concurrent study of a series of cases among hospitalized patients were undertaken to identify the clinical and laboratory signs of severity. RESULTS: A total of 153 patients were included in the study, 13 of whom were hospitalized. Males made up the majority, numbering 103 (67.3%). The age of the patients ranged from 10 to 70 years, 92.2% were natives of the State of Maranhão, and 65% of the patients had had malaria before. The average time elapsed between symptom onset and diagnosis among outpatients was three days, while among hospitalized patients this average reached 15.5 days, a statistically significant difference (p=0.001). The parasitemia ranged from 500 to 10,000 parasites/µl in 92.8% of cases. The clinical and laboratory manifestations of severity were vomiting and diarrhea, jaundice, drowsiness, mental confusion, seizures, loss of consciousness, agitation, bleeding, pale skin, coughing and dyspnea, thrombocytopenia, anemia, elevation of nitrogenous compounds, and elevated transaminases and bilirubin. CONCLUSIONS: The monitoring of malaria patients with Plasmodium vivax showed the possibility of aggravation, the intensity of which varied in different circumstances, especially the interval time between falling ill and diagnostic confirmation.-
dc.description.unidadeFaculdade de Medicina (FM)-
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