Healthy Kids: Dengue Disease

Published: Updated:
FORT MYERS, Fla. – Dengue Disease has recently been in the news and reclassified by the World Health Organization.  Here to tell you everything you need to know about Dengue is Dr. Annette St. Pierre-MacKoul.
WHO’s reclassification of Dengue:
Dengue without Warning Signs replaces Dengue Fever = outpatient treatment
Dengue with Warning Signs replaces Dengue Hemorrhagic Fever =inpatient treatment
Severe Dengue replaces Dengue Shock = ICU treatment
Mosquito-transmitted viral disease
Major public health problem worldwide
Symptoms:  fever, life-threatening syndromes
Fluid loss / plasma leakage in lungs, hypotensive shock
Hemorrhagic manifestations, low platelets and increased hematocrit
Increased incidence in last 3 decades
No vaccine or specific treatments
Phases of Disease:  Febrile Phase: 1-3 days
High fever
Severe headache
Facial flushing
Transient macular or maculopapular rash
Retro-orbital pain
Intense arthragias / myalgias
Critical Phase:  day 4-6
Fever comes down
Plasma leakage occurs
Abdominal pain
Increase in hematocrit / drop in platelets
Mucosal bleeding
Ascites / liver enlargement
Vomiting and restlessness / lethargy
Recovery Phase: day 7- 10
Reabsorption of fluid leakage
Takes 48-72 hours
Increased diuresis
Stabilization of hematocrit and platelets
Development of itchy, red rash
Low heart rate
Concerns of Dengue:
Rapidly spreading mosquito-bourne viral disease in the world
Public Health Hazard: Caribbean, Central America, Brazil, East Asia, Africa
Recent outbreaks:  South Florida, Texas, and Hawaii
Recognize disease and give supportive treatment

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