Friday 9 July 2010

Just a note: Dengue Fever

  • Dengue fever caused due to the ?virus spread by the Aedes mosquito, is a disease of the tropics. 
  • The patient presents with high fever (saddle back fever) and a prominent maculopapular rash or just macular rash.
  • Muscle and joint pain, Back pain, abdominal tenderness and jaundice are some of the added symptoms.
  • Retro-orbital tenderness is prominent in patients too.
  • One of the most important tests to do on the patient is his platelet count to make sure the patient does not enter Dengue Hemorrhagic Fever or Dengue Shock Syndrome. Probability of DIC is very high.
  • A patient who has already had dengue before must be carefully monitored because the antigen-antibody complex might precipitate increasing the chances of DIC.
  • One important point is the incubation period, it is usually 5 to 7 days. So, determining where the patient was 5 to 7 days before his symptoms began is most important because the area must be quarantined or reported to the infection control department of the hospital/state.


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