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Wednesday, September 17, 2014

Medical emergency requires reporting of Aragua

Medical emergency requires reporting of Aragua

According to autopsy, there are several deaths from complications Syndrome

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In the Central Hospital of Maracay awaiting results of samples sent to the National Institute of Hygiene COURTESY

Erika GUILLÉN | SPECIAL TO THE UNIVERSAL
Wednesday September 17, 2014 12:00 AM
Maracay -. Photos, medical reports and autopsy data gathered representatives of the College of Physicians in Aragua, where it says that in the last days have passed 10 people, nine of them in the state, by the so-called hemorrhagic fever syndrome.

So far not known whether the disease is caused by a virus or bacteria. Indeed, as indicated, that is what the tests reveal samples sent last week, the National Institute of Hygiene (INH) in Caracas, the only place in the country with the reagents for these samples.

"They is an emergency, we know not what we face and we must know the cause in order to provide appropriate treatment to prevent the collapse of the patient's organs. Three to five days are enough for testing and still have not said anything, "he said and warned union representatives to be done urgently epidemiological fence.

"This is a very aggressive disease and causes deterioration of the patient within 72 hours to cause death," said a doctor who attended the meeting called for Tuesday night at the headquarters of the College of Physicians in Aragua, and who declined to be identified under guard.

The health professionals at that meeting, the authorities insisted that the Executive must declare a health emergency in the aragüeña entity due to the serious situation. They handle the figure of 10 deaths from the syndrome, one of which was recorded in Caracas earlier this week.

It was learned that some samples of crops able to be sent to a private laboratory to verify that the disease is treated.


For professional ethics, doctors kept secret the names of the patients involved, cautioned, however mentioned details of the autopsy of one of the recently deceased, which reveals the aggressiveness of the disease.

A case

All medical reports indicate death from Acute Haemorrhagic Fever Syndrome in a patient a year, died 1 September, after seven hours hospitalized. Relatives said, according to the report, the baby began the disease on August 30 with fever to 39.5 ° degrees and rash on upper extremities. Two days later he developed fever to 40 ° degrees and rectal bleeding not yield multiple times. On admission to the Central Hospital of Maracay, was diagnosed with "severe dengue".

In the clinical history of the patient indicates that the infant showed a hypovolemic shock. After supplying the necessary drugs, the baby had complications. Increasing white blood cells and low platelets. He recorded a respiratory arrest that caused his death.

The situation was reported to health authorities in the state. He took samples (post mortem) of heart, liver, kidney, spleen, lung and intracardiac blood sent to the National Institute of Hygiene Rafael Rangel.

In the autopsy report states: "hepatomegaly, steatosis, congestive spleen, pale kidneys, hemorrhagic enterocolitis with rings granulomatous appearance, pleuritis erosive and petechiae in the upper limbs."

Representatives of the College of Physicians insist that the deceased had the same set of symptoms (fever 40 ° degrees unyielding, skin rashes and bleeding) that result in rapid deterioration.

Suspected Cases

It was learned that at the Hospital of Maracay two children, 12 and 5 years of age, who for days have the same symptoms of the disease and are treated as DHF.

Social Security In San Jose are hospitalized two men, one 39 years (from the coastal town of Choroní) and another 55 with disease characteristics.


The suspects in both cases health centers could not be confirmed with the policy of the College of Physicians of Aragua.

Furthermore, it emerged that doctors and nurses do not have Central Hospital biosecurity measures. Face shortages of inputs, especially gloves and face mask, to take care of the patients admitted. 
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