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Echinocytes in the peripheral blood of patients infected with dengue virus may be a predictor of disease severity Cover

Echinocytes in the peripheral blood of patients infected with dengue virus may be a predictor of disease severity

Open Access
|Aug 2017

Figures & Tables

Figure 1

Peripheral blood smear demonstrating numerous echinocytes, among a few normal red blood cells (from patient 8 at defervescence (D0), Wright’s stain, bar 10 pm, original magnification × 100).
Peripheral blood smear demonstrating numerous echinocytes, among a few normal red blood cells (from patient 8 at defervescence (D0), Wright’s stain, bar 10 pm, original magnification × 100).

Echinocytes in the peripheral blood smears from our patients

PatientEchinocytesSeverityALT

Any day before D−1

D–X
D–1D0D+2

Any day after D+2

D+Y
WHO 2009WHO 2011(IU/L)
1NoNoDWoSDF67
2NoNoDWoSDF33
3NoRareFewNoDWSDF510
4NoNoDWoSDF18
5NoNoDWoSDF15
6NoNoDWoSDF34
7NoNoDWoSDF11
8No3+3+1+NoDWSDHF grade I199
9NoFew1+NoDWSDF

NA, not available; ALT, alanine transaminase; WHO = World Health Organization Regional Office for Southeast Asia clinical criteria; DWS, dengue with warning signs; DWoS, dengue without warning signs; DHF, Dengue hemorrhagic fever; DF, Dengue fever; echinocytes were categorized as rare (<10%), few (11%–15%), 1+ (16%–25%), 2+ (26%–50%), 3+ (51%– 75%), and 4+ (76%–100%)

NA
10NoRare3+

Referral because of moderate amount of right pleural effusion in chest x-ray image

Referral
DWSDHF grade IINA
11RareRareFewRareDWSDFNA
12RareNoNoDWSDFNA
13NoNoRareNoDWSDFNA
DOI: https://doi.org/10.5372/1905-7415.1101.538 | Journal eISSN: 1875-855X | Journal ISSN: 1905-7415
Language: English
Page range: 49 - 53
Published on: Aug 31, 2017
Published by: Chulalongkorn University
In partnership with: Paradigm Publishing Services
Publication frequency: 6 issues per year

© 2017 Samadhi Patamatamkul, Sukanya Chukanhom, published by Chulalongkorn University
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.