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INFECTIOUS DISEASE

DENGUE FEVER - ARBOVIRUS

“Breakbone fever” disease caused by arbovirus and transmitted to humans principally by the mosquito aedes aegypti (Yellow fever mosquito). Symptoms severe joint/muscle pain, headache, sore throat, fever, running of the eyes, irritating rash. Lasts a few days, symptoms recurr in 2-3 days usually milder.

Dengue hemorrhagic fever characterized by breakdown of blood clotting mechanism with internal bleeding - effects children.
PromptDengue bloods
ResponseLOW platelets
High haematocrit
LFT’s - Elevated AST/ALT
Dengue NS1 antigens, or Dengue PCR
Coags ? DIC
Self-rate:
PromptDifferentials of Dengue
ResponseSevere sepsis
Hepatitis
leptospirosis
Self-rate:
PromptTreatment of Dengue
ResponseTreatment is supportive only
Avoid NSAIDS/antiplatelets/thinners
Bloods Q24-48 hours.
Self-rate:
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