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对登革热的临床表现,除越南战争期间在东南亚工作过的以外,很少美国医师熟悉它。登革热的地方性流行遍及全世界,包括西非、多数加勒比群岛、中美和南美洲的几个国家、波利尼西亚、密克罗尼西亚和热带亚洲以及东南亚。由于现代旅行的迅速,便于将散发病例输送至非地方性流行区,因此登革热的诊断需要有关本病地方性流行的地理学区域知识。1963～1964年,美国发生了29例与加勒比地区和委内瑞拉流行有关的输入病例。此后,
Few American physicians are familiar with the clinical manifestations of dengue, except those who worked in Southeast Asia during the Vietnam War. Dengue fever endemic is endemic to all parts of the world, including West Africa, the majority of the Caribbean, several countries of Central and South America, Polynesia, Micronesia and Tropical Asia and South-East Asia. Because modern travel is rapid and facilitates the delivery of sporadic cases to non-endemic areas, the diagnosis of dengue requires knowledge of the geographical area endemic to the disease. From 1963 to 1964, there were 29 imported cases in the United States related to the epidemic in the Caribbean and Venezuela. Since then,