Análise do hemograma das crianças com dengue, atendidas em um hospital público de Fortaleza-CE

Abstract

Dengue is an arbovirose that is present in the entire Brazilian territory and constitutes a serious problem of public health worldwide until the present day. Since 2008, studies have indicated the migration of severe cases of the disease to the younger age group. The objective of this study was to perform an analysis of the hematological findings of children with dengue in the city of Fortaleza. This is a retrospective study with children attended at a public laboratory in Fortaleza, Ceará. We selected and analyzed hemograms of children with confirmed diagnosis for dengue, attended at the Laboratory of Clinical Analysis of the Hospital Infantil de Fortaleza Dr. Lúcia de Fátima Ribeiro Guimarães Sá, from January 2017 to October 2018. We studied 100 hemograms with predominance of males (54%) and in both genders the prevalence of age was higher in children aged 6 to 8 years. The changes in the blood count of children with dengue were 69%, 68% of leukopenia, 55% of them had thrombocytopenia and leukopenia simultaneously, anemia in 59%, hematocrit in 5% of children, 3% of lymphocytosis, 16 % of lymphopenia and presence of atypical lymphocytes in 13% of cases. The knowledge of hematological changes is fundamental importance to help in the early diagnosis of dengue and treatment of this disease.