Typically, people infected with dengue virus are asymptomatic 80% or only have mild symptoms such as an uncomplicated fever. X dont give platelet transfusions for a low platelet count. Read about treatment and symptoms, like rash and fever, get vaccine info, and learn about. Dengue hemorrhagic fever nursing care management and study guide. Dengue fever df and its more serious forms, dengue hemorrhagic fever dhf and dengue shock syndrome dss, are becoming important public health problems and were formally included within the disease portfolio of the united nations development programme. Severe dengue infection can lead to death, therefore, clinicians should should aim for. Centers for disease control and prevention clinical diagnosis dengue classic dengue fever, or break bone fever, is characterized by acute onset of high fever 314 days after the bite of an infected mosquito.
Symptoms include frontal headache, retroorbital pain, myalgias, arthralgias, hemorrhagic manifestations, rash, and. Pdf dengue is an arboviral infection with dreaded haemorrhagic complications. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Efficient and accurate diagnosis of dengue is of primary importance for clinical care i. To adequately determine what laboratory tests are necessary, correctly provide a clinical diagnosis and to assure that test results are received by the requesting physician, the following information is essential. Dengue fever virus denv is an rna virus of the family flaviviridae. This characteristic fever pattern may not be noticeable because of use of antipyretics and hence diagnosis of dengue may be missed. Treat the symptoms of dengue and see your healthcare provider. Laboratory confirmation can be made from a single acutephase serum specimen obtained early. Early and accurate diagnosis is critical to reduce mortality. Classic dengue fever is primarily a disease of older children and adults. Decision tree algorithms predict the diagnosis and outcome of dengue fever in the early phase of illness. Other conditions that might have dengue fever as a complication may, potentially, be an underlying cause of dengue fever.
Dec 07, 2018 some patients with dengue fever go on to develop dengue hemorrhagic fever, a severe and sometimes fatal form of the disease. Naats should be performed on serum specimens collected 7 days or less after symptom onset. If after two days fever is not recovered, then patient should be advised for a complete blood checkup cbc. Dengue has become a widespread infection over the past few year, extending from endemic to nonendemic areas. They are not indicated and can increase the risk of gi bleeding, hyperglycemia, and immunosuppression. Fever, headaches, eye pain, severe dizziness and loss of appetite. Dengue fever as a complication of other conditions. Dengue fever is an acute infectious viral disease, caused by all four types of dengue virus 1, 2, 3 and 4. These viruses are related to the viruses that cause. Dengue fever symptoms, diagnosis, treatment, complications. This acute febrile illness can be a deadly infection in cases of severe manifestation, causing dengue hemorrhagic shock.
Jun 16, 2011 dengue is a leading cause of severe illness and hospitalization in vietnam. Dengue fever is an acute febrile disease caused by infection with one of the serotypes of dengue virus. Dengue fever symptoms, diagnosis and treatment bmj. Incorporating the revised dengue guidelines in general. In addition, the symptoms of dengue fever, such as fever and body aches, closely resemble symptoms of influenza.
Always seek the advice of your own physician or other qualified health care professional regarding any medical questions or conditions. Findings from this study provide important insights into medical practitioner knowledge, attitudes, and practices associated with dengue fever in a resourcelimited endemic region. The content on the uptodate website is not intended nor recommended as a substitute for medical advice, diagnosis, or treatment. Dengue, dengue haemorrhagic fever and dengue shock. Dengue fever amila weerasinghe mbbs undergraduate 20102011 batch 21st faculty of medical sciences university of sri jayewardenepura sri lanka 19012015 2. Dengue fever is a disease spread by the aedes aegypti mosquito and is caused by one of four dengue viruses. 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. Laboratory diagnosis and diagnostic tests dengue ncbi. Dengue fever is a disease transmitted by a mosquito bite. A crosssectional study of acute dengue infection in paediatric.
Dengue fever breakbone fever is a mosquitoborne disease. These findings highlight several strategies to improve diagnosis and clinical management of dengue infections in this region. Because dengue fever is a rare diagnosis in the us, be sure to mention your travel history to your doctor. Since the second edition of dengue haemorrhagic fever. This study sought to elucidate the linkage between climate factors, mosquito indices and dengue incidence. Dengue and dengue hemorrhagic fever pubmed central pmc. Dengue fever symptoms, diagnosis and treatment bmj best. Your doctor will likely ask about your medical and travel history. May 03, 2019 evaluation of the ns1 rapid test and the who dengue classification schemes for use as bedside diagnosis of acute dengue fever in adults. Dengue fever should be included in the differential diagnosis of a person presenting. It is the fastestgrowing mosquitoborne viral infection in the world.
Once you are infected with one of the dengue viruses, you will develop immunity to that. Dengue fever diagnosis the goal of these tests is to provide early detection of the disease, distinguish between the different viral dengue, and predict which people are at highest risk of developing the more severe forms of the disease, dengue hemorrhagic fever and dengue shock syndrome. Pdf early diagnosis of dengue, the most common mosquitoborne disease globally, remains challenging. Department of health and human services centers for. Read more information on homeopathic remedies, risks, and prevention. The diagnosis of dengue infection must be confirmed by serology. Confirmatory tests include viral antigen or nucleic acid detection and serology. Dengue fever can, in some cases, be lifethreatening. If you become sick after traveling to a tropical area, let. Dengue fever symptoms on the off chance that you contract dengue fever, indications more often than not start around four.
Endemic in more than 120 countries, particularly the southeast asian and. Dengue fever is a mosquitoborne tropical disease caused by the dengue virus. The cdc dengue branch provides dengue testing free of cost to submitting physicians, state and private laboratories. Dengue virus ns1 antigen, igm and igg were analysed using a tell me fast combo dengue. Dengue management dos and donts x dont use corticosteroids. Dengue fever affects close to 400 million people worldwide each year, with about 40% of the worlds population being at risk of exposure and infection. Other members of the same genus include yellow fever virus, west nile virus, zika virus, st. Dengue fever diagnosis the goal of these tests is to provide early detection of the disease, distinguish between the different viral dengue, and predict which people are at highest risk of developing the more severe forms of the disease, dengue hemorrhagic fever and. Learn more about dengue fever causes, sign and symptoms, treatment and diagnosis at findatopdoc.
Symptoms typically begin three to fourteen days after infection. Dengue fever df and its more serious forms, dengue hemorrhagic fever dhf and dengue shock syndrome dss, are becoming important public health problems and were formally included within the disease portfolio of the united. Sponge patients skin with tepid water when temperature is high. It is characterized by the sudden onset of fever and a variety of nonspecific signs and symptoms, including frontal headache, retroorbital pain, body aches, nausea and vomiting, joint pains, weakness, and rash 1, 71, 1, 6, 149. Monthly data on dengue cases and mosquito larval indices were ascertained between 2004 and 2008 in the dak lak province vietnam. Dengue is an endemic viral disease affecting tropical and subtropical regions around the world, predominantly in urban and semiurban areas. Dengue and dengue fever symptoms, causes, diagnosis.
When a parent presents their child at a clinic with a high fever, clinicians often find it hard to determine the cause based on the symptoms alone. In a small proportion of cases, the disease develops into severe dengue, also. In addition, the symptoms of dengue fever, such as fever and body aches. A diagnosis of dengue fever can easily be missed or delayed in temperate or northern areas of the world, such as the u. Hemorrhagic tendency positive tourniquet test, spontaneous bruising, bleeding from mucosa, gingiva, injection. Icd9cm 061 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 061 should only be used for claims with a date of service on or before september 30, 2015. Getting the right test, at the right time, to the right population is key to effective dengue control. These may include a high fever, headache, vomiting, muscle and joint pains, and a characteristic skin rash. Severe dengue fever is characterized by marked thrombocytopenia, severe hemorrhage, plasma leakage leading to shock or fluid accumulation with respiratory distress, and severe organ impairment. It is transmitted by the bite of mosquitoes, most commonly aedes aegypti found in tropical and subtropical regions. During this phase, diagnosis is possible by detecting viral rnaproteins in patient blood. Dengue haemorrhagic fever world health organization. Introduction dengue is the most rapidly spreading mosquito borne viral disease in the world. Dengue fever symptoms, diagnosis, treatments and causes.
Dengue is not included in the generic integrated management of childhood illness imci algorithm but it is an important differential diagnosis of fever in children. Jan 20, 2015 dengue fever, diagosis and management 1. Dengue presents initially as undifferentiated fever, with symptoms becoming more. Travelers to these areas are at risk of acquiring dengue virus a. For patients with suspected dengue virus disease, naats are the preferred method of laboratory diagnosis. If you think you have dengue pdf icon pdf 1 page see a healthcare provider if you develop a fever or have symptoms of dengue. Onset of symptoms is characterized by a biphasic, highgrade fever lasting for 3. Symptoms of the disease include fever, headache, pain behind the eyes, muscle and joint pain, and rash. Dengue virus infections may be asymptomatic or may lead to undifferentiated fever, dengue fever df or dengue haemorrhagic fever dhf. Our database lists the following as having dengue fever as a complication of that condition. It is a mosquitoborn disease caused by genus aedes. Knowledge, attitudes, and practices regarding dengue.
Useful clinical features and hematological parameters for the. Uptodate, electronic clinical resource tool for physicians and patients that provides information on adult primary care and internal medicine, allergy and immunology, cardiovascular medicine, emergency medicine, endocrinology and diabetes, family medicine, gastroenterology and hepatology, hematology, infectious diseases, nephrology and. In dengueendemic regions, suspected, probable, and confirmed cases of dengue infection should be reported to the relevant authorities as soon as possible. Diagnosis, treatment, prevention and control 2nd edition. Dengue fever including symptoms, treatment and prevention sa. Dengue fever symptoms, causes, contagious, rash, prevention. Early diagnosis of dengue, the most common mosquitoborne disease globally, remains challenging. Doctors use a medical and traveling history to make a diagnosis of dengue fever. The fever characteristically lasts from 3 to 7 days after which defervescence follows. Dengue fever is a viral disease spread by mosquitoes.
Temperature, sunshine, rainfall and humidity were also recorded as monthly. An evidencebased algorithm for early prognosis of severe dengue. Often the term breakbone fever is used to describe the febrile illness in dengue. However, diagnosis may be missed due to similar clinical features. Dengue hemorrhagic fever patients with acute abdomen.
Dengue pronounced dengee fever is a painful, debilitating mosquitoborne disease caused by any one of four closely related dengue viruses. Ecological factors associated with dengue fever in a central. Dengue fever is common in tropical areas, so take extra precautions if you travel somewhere with this type of climate. Your doctor can diagnosis dengue fever by testing your blood for the presence of antibodies to the virus. Louis encephalitis virus, japanese encephalitis virus, tickborne encephalitis virus, kyasanur forest disease virus, and omsk hemorrhagic fever virus. Making a diagnosis of dengue fever can be challenging since some of the symptoms are similar to those of other diseases like.
Apr 27, 2020 dengue fever is a common tropical infection. Doctors can diagnose dengue infection with a blood test to check for the virus or antibodies to it. Outbreaks of dengue fever in the 1950s and 1960s in many countries of the asiapacific region led to the organization of a biregional seminar in 1964 in bangkok, thailand, and a biregional meeting in 1974 in manila, philippines. Dengue presents initially as undifferentiated fever, with symptoms. Incorporating the revised dengue guidelines in general pediatric practice panelists. An estimated 50 million dengue infections occur annually. Clinical features and pitfalls in the laboratory diagnosis of dengue in travellers. Wichmann o, stark k, shu py, niedrig m, frank c, huang jh.
The classic picture is high fever with no localising source of infection, a rash with thrombocytopenia and relative leukopenialow platelet and white blood cell count. Aug 28, 2012 in acute phase of dengue, patients generally suffer from flulike fever and seek medical attention in first two days. Control the fever give acetaminophen every 6 hours maximum 4 doses per day. The relationship between hemorrhagic dengue fever and neurological. Following these meetings, guidelines for the diagnosis, treatment. Dengue fever dengue fever is a painful, debilitating mosquitoborne disease caused by any one of four closely related dengue viruses.
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