Clinical Manifestations Suggestive of Depression in Patients Served with Febrile Illness in Campo Grande (MS) and Dourados (Ms), Brazil
Hugo Miguel Ramos Vieira *
Faculty of Medicine, Graduate Program in Infectious and Parasitic Diseases, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil.
Eliza Miranda Ramos
Faculty of Medicine, Postgraduate Health and Development Program in the Midwest Region, University of Mato Grosso do Sul, Campo Grande, MS, Brazil.
Daniel Henrique Tsuha
Faculty of Medicine, Graduate Program in Infectious and Parasitic Diseases, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil.
Christinne Cavalheiro Maymone Gonçalves
Faculty of Medicine, Graduate Program in Infectious and Parasitic Diseases, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil and State Center for Assistance Regulation, SES/MS, Campo Grande, MS, Brazil.
Júlio Henrique Rosa Croda
Faculty of Medicine, Graduate Program in Infectious and Parasitic Diseases, Federal University of Mato Grosso do Sul, Campo Grande, MS, Brazil.
*Author to whom correspondence should be addressed.
Abstract
Introduction: In Brazil, a country with high temperatures, favorable to the development of the vector, the mosquito has already become a problem, not only because of Dengue, Zika and Chikungunya, which plague some Brazilian regions.
Objectives: To identify patients assisted in Campo Grande (MS) and Dourados (MS) with febrile symptoms and their possible depressive symptoms.
Methodology: This is a cohort study with patients who obtained a proven clinical-epidemiological and laboratory diagnosis of Dengue (ELISA; qRT-PCR and NS1), treated at the SUS network in the cities of Campo Grande (MS) and Dourados (MS). The collection period was from 2018, starting from April to September 2019. The CES-D instrument was used to perform the possible diagnosis of depression.
Results: In the 115 participants positive for Dengue, a sample in V0 was verified with 63.5% who developed symptoms of depression. In period V14, patients positive for Dengue totaled 37.4% and these patients did not develop depression according to the sample of the instrument used and totaled 62.6%.
Discussion: It was possible to verify in this study that depression is a mood disorder whose symptom together brings suffering and, mainly, social and occupational damage to the analyzed sample.
Conclusion: There is a significant direct relationship between the number of patients who developed depression in the illness process of febrile illnesses.
Keywords: Dengue, immune response, depression, CES-D, hemorrhagic fever