Dengue hemorrhagic fever: diagnosis, treatment and control. • UF cannot be diagnosed clinically and the diagnosis is based on serology or virology.
Bull WHO 1983;61:693-701. Dengue and dengue hemorrhagic fever in the Americas. Dengue hemorrhagic fever is a leading cause of hospitalization and death among children in many Southeast Asian countries. Dengue Hemorrhagic fever (DHF): characterized by presence of all four criteria: (a) fever or history of fever (acute onset, high and continuous, lasting two to seven days); (b) hemorrhagic manifestations, any one of the following: a positive tourniquet test, Gubler DJ. World Health Organization. The initial phase of dengue hemorrhagic fever is similar to that of dengue fever and other febrile viral illnesses. Hemorrhagic tendencies evidenced by one or more of the following Recovery generally takes two to seven days. Dengue fever is an arboviral infection spread by the Aedes mosquito with a wide spectrum of presentations encompassing simple flu-like illness to hemorrhagic manifestations. Dengue Hemorrhagic Fever (DHF): a). Herein we present a case of a 38-year-old male with dengue fever … Diagnosing dengue fever can be difficult, because its signs and symptoms can be easily confused with those of other diseases — such as malaria, leptospirosis and typhoid fever. Clinical Diagnosis Dengue Hemorrhagic Fever and Dengue Shock Syndrome Some patients with dengue fever go on to develop dengue hemorrhagic fever (DHF), a severe and sometimes fatal form of the disease. Around the time the fever begins to subside (usually 3–7 days after symptom onset), the patient may develop warning signs of severe disease. A case with clinical criteria of dengue Fever plus b). Shortly after the fever breaks (or sometimes within 24 hours before), signs of plasma leakage appear, along with the development of hemorrhagic symptoms such as bleeding from sites of trauma, gastrointestinal bleeding, and hematuria.
Dengue fever, a very old disease, has reemerged in the past 20 years with an expanded geographic distribution of both the viruses and the mosquito vectors, increased epidemic activity, the development of hyperendemicity (the cocirculation of multiple serotypes), and the emergence of dengue hemorrhagic fever in new geographic regions. Sumarmo WH, Jahja E, Gubler DJ, et al. Dengue Fever: An acute febrile illness of 2-7 days duration with two or more of the following manifestations: Headache, retro-orbital pain, myalgia, arthralgia, rash, hemorrhagic manifestations. These may include a high fever, headache, vomiting, muscle and joint pains, and a characteristic skin rash. Clinical observations on viro- logically confirmed fatal dengue infections in Jakarta, Indonesia. The symptomatic cases are categorized as undifferentiated febrile illness (UF), dengue fever (DF), dengue hemorrhagic fever (DHF), dengue shock syndrome (DSS) and unusual dengue (UD) or expanded dengue syndrome (EDS) . Your doctor will likely ask about your medical and travel history. Dengue fever is a mosquito-borne tropical disease caused by the dengue virus. Symptoms typically begin three to fourteen days after infection. Geneva: WHO, 1986. In addition to the public health impact, dengue places a heavy economic and social burden on endemic countries. The first symptoms of dengue are usually poorly specific and include high fever and general malaise, which arise about 3 days after mosquito bite Aedes Hemorrhagic complications range from simple petechiae and purpura to gastrointestinal bleeding, hematuria, and severe central nervous system (CNS) bleeds.
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