Dengue Fever treatments
Dengue Fever Symptoms and Signs
After being bitten by a mosquito carrying the virus, the incubation period ranges from three to 15 (usually five to eight) days before the signs and symptoms of dengue appear. Dengue starts with chills, headache, pain upon moving the eyes, and low backache. Painful aching in the legs and joints occurs during the first hours of illness. The temperature rises quickly as high as 104 F (40 C), with relative low heart rate (bradycardia) and low blood pressure (hypotension). The eyes become reddened. A flushing or pale pink rash comes over the face and then disappears. The glands (lymph nodes) in the neck and groin are often swollen.
Fever and other signs of dengue last for two to four days, followed by a rapid drop in body temperature (defervescence) with profuse sweating. This precedes a period with normal temperature and a sense of well-being that lasts about a day. A second rapid rise in temperature follows. A characteristic rash appears along with the fever and spreads from the extremities to cover the entire body except the face. The palms and soles may be bright red and swollen.
What is dengue fever?
Dengue fever is a disease caused by a family of viruses that are transmitted by mosquitoes. It is an acute illness of sudden onset that usually follows a benign course with symptoms such as headache, fever, exhaustion, severe muscle and joint pain, swollen glands (lymphadenopathy), and rash. The presence (the “dengue triad”) of fever, rash, and headache (and other pains) is particularly characteristic of dengue. Other signs of dengue fever include bleeding gums, severe pain behind the eyes, and red palms and soles.
Dengue (pronounced DENG-gay) strikes people with low levels of immunity. Because it is caused by one of four serotypes of virus, it is possible to get dengue fever multiple times. However, an attack of dengue produces immunity for a lifetime to that particular serotype to which the patient was exposed.
Dengue goes by other names, including “breakbone” or “dandy fever.” Victims of dengue often have contortions due to the intense joint and muscle pain, hence the name breakbone fever. Slaves in the West Indies who contracted dengue were said to have dandy fever because of their postures and gait.
Dengue hemorrhagic fever is a more severe form of the viral illness. Manifestations include headache, fever, rash, and evidence of hemorrhage in the body. Petechiae (small red or purple blisters under the skin), bleeding in the nose or gums, black stools, or easy bruising are all possible signs of hemorrhage. This form of dengue fever can be life-threatening and can progress to the most severe form of the illness, dengue shock syndrome.
What areas are at high risk for contracting dengue fever?
Dengue is prevalent throughout the tropics and subtropics. Outbreaks have occurred recently in the Caribbean, including Puerto Rico, the U.S. Virgin Islands, Cuba, and Central America. Cases have also been imported via tourists returning from areas with widespread dengue, including Tahiti, Singapore, the South Pacific, Southeast Asia, the West Indies, India, and the Middle East (similar in distribution to the areas of the world that harbor malaria and yellow fever). Dengue is now the leading cause of acute febrile illness in U.S. travelers returning from the Caribbean, South America, and Asia.
A 2009 outbreak of dengue fever in Key West, Fla., showed that three patients who did not travel outside of the U.S. contracted the virus. Subsequent testing of the population of Key West has shown that up to 55 of the people living in the area have antibodies to dengue. As of July 17, 2010, 17 individuals have been identified that acquired dengue in Key West in 2010.
Dengue fever is common, and statistics show it may be increasing in Southeast Asia. Thailand, Vietnam, Singapore, and Malaysia have all reported an increase in cases. According to the U.S. Centers for Disease Control and Prevention (CDC), there are an estimated 100 million cases of dengue fever with several hundred thousand cases of dengue hemorrhagic fever requiring hospitalization each year. Nearly 40% of the world’s population lives in an area endemic with dengue.
How is dengue fever contracted?
The virus is contracted from the bite of a striped Aedes aegypti mosquito that has previously bitten an infected person. The mosquito flourishes during rainy seasons but can breed in water-filled flower pots, plastic bags, and cans year-round. One mosquito bite can inflict the disease.
The virus is not contagious and cannot be spread directly from person to person. There must be a person-to-mosquito-to-another-person pathway.
What is the treatment for dengue fever?
Because dengue fever is caused by a virus, there is no specific medicine or antibiotic to treat it. For typical dengue, the treatment is purely concerned with relief of the symptoms (symptomatic). Rest and fluid intake for adequate hydration is important. Aspirin and nonsteroidal anti-inflammatory drugs should only be taken under a doctor’s supervision because of the possibility of worsening hemorrhagic complications. Acetaminophen (Tylenol) and codeine may be given for severe headache and for the joint and muscle pain (myalgia)
What is the prognosis for typical dengue fever?
Typical dengue is fatal in less than 1% of cases. The acute phase of the illness with fever and myalgias lasts about one to two weeks. Convalescence is accompanied by a feeling of weakness (asthenia), and full recovery often takes several weeks.
What is dengue hemorrhagic fever?
Dengue hemorrhagic fever (DHF) is a specific syndrome that tends to affect children under 10 years of age. It causes abdominal pain, hemorrhage (bleeding), and circulatory collapse (shock). DHF is also called Philippine, Thai, or Southeast Asian hemorrhagic fever and dengue shock syndrome.
DHF starts abruptly with high continuous fever and headache. There are respiratory and intestinal symptoms with sore throat, cough, nausea, vomiting, and abdominal pain. Shock occurs two to six days after the start of symptoms with sudden collapse, cool, clammy extremities (the trunk is often warm), weak pulse, and blueness around the mouth (circumoral cyanosis).
In DHF, there is bleeding with easy bruising, blood spots in the skin (petechiae), spitting up blood (hematemesis), blood in the stool (melena), bleeding gums, and nosebleeds (epistaxis). Pneumonia is common, and inflammation of the heart (myocarditis) may be present.
Patients with DHF must be monitored closely for the first few days since shock may occur or recur precipitously (dengue shock syndrome). Cyanotic (bluish) patients are given oxygen. Vascular collapse (shock) requires immediate fluid replacement. Blood transfusions may be needed to control bleeding.
The mortality (death) rate with DHF is significant. It ranges from 6%-30%. Most deaths occur in children. Infants under a year of age are especially at risk of dying from DHF
How can dengue fever be prevented?
The transmission of the virus to mosquitoes must be interrupted to prevent the illness. To this end, patients are kept under mosquito netting until the second bout of fever is over and they are no longer contagious.
The prevention of dengue requires control or eradication of the mosquitoes carrying the virus that causes dengue. In nations plagued by dengue fever, people are urged to empty stagnant water from old tires, trash cans, and flower pots. Governmental initiatives to decrease mosquitoes also help to keep the disease in check but have been poorly effective.
To prevent mosquito bites, wear long pants and long sleeves. For personal protection, use mosquito repellant sprays that contain DEET when visiting places where dengue is endemic. Limiting exposure to mosquitoes by avoiding standing water and staying indoors two hours after sunrise and before sunset will help. The Aedes aegypti mosquito is a daytime biter with peak periods of biting around sunrise and sunset. It may bite at any time of the day and is often hidden inside homes or other dwellings, especially in urban areas.
There is currently no vaccine available for dengue fever. There is a vaccine undergoing clinical trials, but it is too early to tell if it will be safe or effective. Early results of clinical trials show that a vaccine may be available by 2012.
Where can people get more information on dengue fever?
“Dengue,” Centers for Disease Control and Prevention
Dengue Fever At A Glance
- Dengue fever is a disease caused by a family of viruses that are transmitted by mosquitoes.
- Symptoms such as headache, fever, exhaustion, severe joint and muscle pain, swollen glands (lymphadenopathy), and rash. The presence (the “dengue triad”) of fever, rash, and headache (and other pains) is particularly characteristic of dengue fever.
- Dengue is prevalent throughout the tropics and subtropics. Outbreaks have occurred recently in the Caribbean, including Puerto Rico, the U.S. Virgin Islands, Cuba, and Central America.
- Because dengue fever is caused by a virus, there is no specific medicine or antibiotic to treat it. For typical dengue fever, the treatment is purely concerned with relief of the symptoms (symptomatic).
- The acute phase of the illness with fever and myalgias lasts about one to two weeks.
- Dengue hemorrhagic fever (DHF) is a specific syndrome that tends to affect children under 10 years of age. It causes abdominal pain, hemorrhage (bleeding), and circulatory collapse (shock).
- The prevention of dengue fever requires control or eradication of the mosquitoes carrying the virus that causes dengue.
- There is currently no vaccine available for dengue fever.
Canada. Public Health Agency of Canada. “Dengue in South East Asia.” Aug. 23, 2007. <http://www.phac-aspc.gc.ca/tmp-pmv/2007/dengue070823_e.html>.
“Dengue Fever in Key West.” Florida Department of Health. <http://www.doh.state.fl.us/Environment/medicine/arboviral/Dengue_FloridaKeys.html>.
Switzerland. World Health Organization. “Planning Social Mobilization and Communication for Dengue Fever Prevention and Control.” <http://www.who.int/tdr/publications/publications/pdf/planning_dengue.pdf>.
Switzerland. World Health Organization. “Vector-Borne Viral Infections.” <http://www.who.int/vaccine_research/diseases/vector/en/index.html>.
United States. Centers for Disease Control and Prevention. “Dengue.” May 20, 2010. <http://www.cdc.gov/Dengue/>.
United States. Centers for Disease Control and Prevention. “Locally Acquired Dengue — Key West, Florida, 2009-2010.” Morbidity and Mortality Weekly Report 59.19 May 21, 2010: 577-581. <http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5919a1.htm>
Dengi, Dengue, Dengi machar, Dengue machar, Dengue Bradycardia, Dengi Bradycardia, Dengue myalgia, Dengue maleriya Dengue bukhar, Dengi myalgia, Dengi maleriya Dengi bukhar, Dengue alamat, Dengi diagnosis , Dengue diagnosis dengue disease, dengue disease solution, dengue disease treatments, dengue disease treatment, dengue disease solutions, dengue disease elaj, dengue disease clinic, dengue disease clinics, dengue disease hospital, dengue disease medicine, dengue disease vitamins, dengue disease tadaber, dengue disease iqdamat, dengi disease treatments, dengi disease treatment, dengi disease solution, dengi disease elaj, dengi disease clinic, dengi disease clinics, dengi disease hospital, dengi disease medicine, dengi disease vitamins, dengi disease tadaber, dengi iqdamat, dengue disease vaccines, dengi disease vaccine, dengue treatments, dengue treatment, dengue solution, dengue elaj, dengue clinic, dengue clinics, dengue hospital, dengue medicine, dengue vitamins, dengue tadaber, dengue iqdamat, dengi treatments, dengi treatment, dengi solution, dengi elaj, dengi clinic, dengi clinics, dengi hospital, dengi medicine, dengi vitamins, dengi tadaber, dengi iqdamat, dengue vaccines, dengi vaccine, dengue virus treatments, dengue virus treatment, dengue virus solution, dengue virus elaj, dengue virus clinic, dengue virus clinics, dengue virus hospital, dengue virus medicine, dengue virus vitamins, dengue virus tadaber, dengue virus iqdamat, dengi virus treatments, dengi virus treatment, dengi virus solution, dengi virus elaj, dengi virus clinic, dengi virus clinics, dengi virus hospital, dengi virus medicine, dengi virus vitamins, dengi virus tadaber, dengi virus iqdamat, dengue virus vaccines, dengi virus vaccine, dengue mosquito treatments, dengue mosquito treatment, dengue mosquito solution, dengue mosquito elaj, dengue mosquito clinic, dengue mosquito clinics, dengue mosquito hospital, dengue mosquito medicine, dengue mosquito vitamins, dengue mosquito tadaber, dengue mosquito iqdamat, dengi mosquito treatments, dengi mosquito treatment, dengi mosquito solution, dengi mosquito elaj, dengi mosquito clinic, dengi mosquito clinics, dengi mosquito hospital, dengi mosquito medicine, dengi mosquito vitamins, dengi mosquito tadaber, dengi mosquito iqdamat, dengue mosquito vaccines, dengi mosquito vaccine, dengue fever treatments, dengue fever treatment, dengue fever solution, dengue fever elaj, dengue fever clinic, dengue fever clinics, dengue fever hospital, dengue fever medicine, dengue fever vitamins, dengue fever tadaber, dengue fever iqdamat, dengi fever treatments, dengi fever treatment, dengi fever solution, dengi fever elaj, dengi fever clinic, dengi fever clinics, dengi fever hospital, dengi fever medicine, dengi fever vitamins, dengi fever tadaber, dengi fever iqdamat, dengue fever vaccines, dengi fever vaccine, dengue virus, dengue virus, dengue mosquito, dengue fever symptoms, dengue cycle, dengue treatments in karachi, dengue treatment in karachi, dengue solution in karachi, dengue elaj in karachi, dengue clinic in karachi, dengue clinics in karachi, dengue hospital in karachi, dengue medicine in karachi, dengue vitamins in karachi, dengue tadaber in karachi, dengue iqdamat in karachi, dengi treatments in karachi, dengi treatment in karachi, dengi solution in karachi, dengi elaj in karachi, dengi clinic in karachi, dengi clinics in karachi, dengi hospital in karachi, dengi medicine in karachi, dengi vitamins in karachi, dengi tadaber in karachi, dengi iqdamat in karachi, dengue vaccines in karachi, dengi vaccines in karachi, dengue patients in karachi, dengue treatments in lahore, dengue treatment in lahore, dengue solution in lahore, dengue elaj in lahore, dengue clinic in lahore, dengue clinics in lahore, dengue hospital in lahore, dengue medicine in lahore, dengue vitamins in lahore, dengue tadaber in lahore, dengue iqdamat in lahore, dengi treatments in lahore, dengi treatment in lahore, dengi solution in lahore, dengi elaj in lahore, dengi clinic in lahore, dengi clinics in lahore, dengi hospital in lahore, dengi medicine in lahore, dengi vitamins in lahore, dengi tadaber in lahore, dengi iqdamat in lahore, dengue vaccines in lahore, dengi vaccines in lahore, dengue patients in lahore, dengue treatments in punjab, dengue treatment in punjab, dengue solution in punjab, dengue elaj in punjab, dengue clinic in punjab, dengue clinics in punjab, dengue hospital in punjab, dengue medicine in punjab, dengue vitamins in punjab, dengue tadaber in punjab, dengue iqdamat in punjab, dengi treatments in punjab, dengi treatment in punjab, dengi solution in punjab, dengi elaj in punjab, dengi clinic in punjab, dengi clinics in punjab, dengi hospital in punjab, dengi medicine in punjab, dengi vitamins in punjab, dengi tadaber in punjab, dengi iqdamat in punjab, dengue vaccines in punjab, dengi vaccines in punjab, dengue patients in punjab, dengue treatments in sindh, dengue treatment in sindh, dengue solution in sindh, dengue elaj in sindh, dengue clinic in sindh, dengue clinics in sindh, dengue hospital in sindh, dengue medicine in sindh, dengue vitamins in sindh, dengue tadaber in sindh, dengue iqdamat in sindh, dengi treatments in sindh, dengi treatment in sindh, dengi solution in sindh, dengi elaj in sindh, dengi clinic in sindh, dengi clinics in sindh, dengi hospital in sindh, dengi medicine in sindh, dengi vitamins in sindh, dengi tadaber in sindh, dengi iqdamat in sindh, dengue vaccines in sindh, dengi vaccines in sindh, dengue patients in sindh, dengue treatments in balochistan, dengue treatment in balochistan, dengue solution in balochistan, dengue elaj in balochistan, dengue clinic in balochistan, dengue clinics in balochistan, dengue hospital in balochistan, dengue medicine in balochistan, dengue vitamins in balochistan, dengue tadaber in balochistan, dengue iqdamat in balochistan, dengi treatments in balochistan, dengi treatment in balochistan, dengi solution in balochistan, dengi elaj in balochistan, dengi clinic in balochistan, dengi clinics in balochistan, dengi hospital in balochistan, dengi medicine in balochistan, dengi vitamins in balochistan, dengi tadaber in balochistan, dengi iqdamat in balochistan, dengue vaccines in balochistan, dengi vaccines in balochistan, dengue patients in balochistan, dengue treatments in khyber pakhtunkhwa, dengue treatment in khyber pakhtunkhwa, dengue solution in khyber pakhtunkhwa, dengue elaj in khyber pakhtunkhwa, dengue clinic in khyber pakhtunkhwa, dengue clinics in khyber pakhtunkhwa, dengue hospital in khyber pakhtunkhwa, dengue medicine in khyber pakhtunkhwa, dengue vitamins in khyber pakhtunkhwa, dengue tadaber in khyber pakhtunkhwa, dengue iqdamat in khyber pakhtunkhwa, dengi treatments in khyber pakhtunkhwa, dengi treatment in khyber pakhtunkhwa, dengi solution in khyber pakhtunkhwa, dengi elaj in khyber pakhtunkhwa, dengi clinic in khyber pakhtunkhwa, dengi clinics in khyber pakhtunkhwa, dengi hospital in khyber pakhtunkhwa, dengi medicine in khyber pakhtunkhwa, dengi vitamins in khyber pakhtunkhwa, dengi tadaber in khyber pakhtunkhwa, dengi iqdamat in khyber pakhtunkhwa, dengue vaccines in khyber pakhtunkhwa, dengi vaccines in khyber pakhtunkhwa, dengue patients in khyber pakhtunkhwa, dengue treatments in khyber fata, dengue treatment in khyber fata, dengue solution in khyber fata, dengue elaj in khyber fata, dengue clinic in khyber fata, dengue clinics in khyber fata, dengue hospital in khyber fata, dengue medicine in khyber fata, dengue vitamins in khyber fata, dengue tadaber in khyber fata, dengue iqdamat in khyber fata, dengi treatments in khyber fata, dengi treatment in khyber fata, dengi solution in khyber fata, dengi elaj in khyber fata, dengi clinic in khyber fata, dengi clinics in khyber fata, dengi hospital in khyber fata, dengi medicine in khyber fata, dengi vitamins in khyber fata, dengi tadaber in khyber fata, dengi iqdamat in khyber fata, dengue vaccines in khyber fata, dengi vaccines in khyber fata, dengue patients in khyber fata, dengue treatments in khyber pakistan, dengue treatment in khyber pakistan
, dengue solution in khyber pakistan, dengue elaj in khyber pakistan, dengue clinic in khyber pakistan, dengue clinics in khyber pakistan, dengue hospital in khyber pakistan, dengue medicine in khyber pakistan, dengue vitamins in khyber pakistan, dengue tadaber in khyber pakistan, dengue iqdamat in khyber pakistan, dengi treatments in khyber pakistan, dengi treatment in khyber pakistan, dengi solution in khyber pakistan, dengi elaj in khyber pakistan, dengi clinic in khyber pakistan, dengi clinics in khyber pakistan, dengi hospital in khyber pakistan, dengi medicine in khyber pakistan, dengi vitamins in khyber pakistan, dengi tadaber in khyber pakistan, dengi iqdamat in khyber pakistan, dengue vaccines in khyber pakistan, dengi vaccines in khyber pakistan, dengue patients in khyber pakistan, Dengue Fever Symptoms and Signs, Dengue bitten by a mosquito, carrying the virus, signs and symptoms, dengue appear, Dengue starts with chills, headache, pain upon moving the eyes, low backache, Painful aching in the legs, joints occurs, temperature, rises quickly, high as 104 F, 40 C, bradycardia, low blood pressure,hypotension, flushing, pale pink rash, face and then disappears, The glands,lymph nodes, neck and groin, swollen, Dengue Fever swollen, body temperature,defervescence,profuse sweating, normal temperature, rise in temperature follows,characteristic rash, extremities to cover, palms and soles, bright red and swollen, What is dengue fever, Dengue fever is a disease, family of viruses , transmitted by mosquitoes., illness of sudden,usually follows, benign course, symptoms such as headache, fever, exhaustion, severe muscle and joint pain, swollen glands, lymphadenopathy, and rash, The presence,the “dengue triad, of fever, rash, and headache,and other pains,particularly characteristic,dengue, Other signs of dengue fever, bleeding gums, severe pain behind the eyes, pronounced DENG-gay,strikes people, low levels of immunity, serotypes of virus, dengue fever multiple times,However, an attack of dengue, produces immunity, particular serotype, Dengue goes ,breakbone, dandy fever, Victims of dengue, have contortions, joint and muscle pain, hence, name breakbone fever,Slaves in the West Indies, contracted dengue, dandy fever because, postures and gait, the Caribbean, including ,Puerto Rico, the U.S,Virgin Islands, Cuba, Central America, Cases,imported via tourists returning, widespread dengue, Tahiti, Singapore,South Pacific, Southeast Asia, the West Indies, India, pakistan,Middle East,similar in distribution,areas of the world,harbor malaria ,yellow fever), febrile illness,U.S. travelers returning,Caribbean, South America, Asia, Dengue hemorrhagic fever, viral illness, Manifestations include headache, fever, rash, and evidence,hemorrhage in the body, Petechiae,small red or purple blisters, under the skin, bleeding in ,nose or gums, black stools, easy bruising ,possible signs of hemorrhage, dengue fever can be, life-threatening, progress, dengue shock syndrome, How is dengue fever contracted, What is the treatment for dengue fever, What is the prognosis for typical dengue fever, What is dengue hemorrhagic fever, How can dengue fever be prevented, Where can people get more information on dengue fever, Dengue Fever At A Glance, REFERENCES, Dengue hemorrhagic fever, DHF,abdominal pain, hemorrhage ,bleeding,and circulatory collapse,shock, symptoms with sudden, collapse, cool, clammy extremities,trunk is often warm, weak pulse,blueness around the mouth,circumoral cyanosis, bleeding, easy bruising, blood spots in the skin,petechiae, spitting up blood,hematemesis,blood in the stool,melena, bleeding gums, and nosebleeds,epistaxis, Pneumonia is common, and inflammation, the heart,myocarditis, present,