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influenza MERS co Dengue fever

s group and exists in two main forms, spread from and infected transmitted by the daytime-biting A.
A and B. and H1N1 person to others though aegypti, which breeds in standing
CDC criteria for suspected H1N1: respiratory secretions The water in refuse dumps in inner cities.
1-acute febrile respiratory illness spike glycoprotein (S A. albopictus is a less common
within 7 days of close contact with a protein) on the MERS CoV transmitter. Humans are infective
person H1N1 influenza A targets a Dipeptide peptidase during the first 3 days of the illness
pathophysiology

or 2-acute febrile respiratory illness 4 (DPP4) expressed on the (the viraemic stage).
within 7 days of travel to a community respiratory cells (cellular
H1N1 influenza A tropism). This binding allows
or 3- Acute febrile respiratory illness the virus to invade and infect
in a person who resides in a the respira cells causing a
community H1N1 influenza A disease.
RF incubation period of influenza is cold-like illnesses incubation period is 5–6 days
usually 1–3 days. following the mosquito bite.
s/s The illness starts abruptly with a They had fever, cough and abrupt onset of high fever, malaise,
fever, shivering and generalized shortness of breath. Others headache, facial flushing, retrobulbar
aching in the limbs. This is reported having pain which worsens on eye
associated with severe headache, gastrointestinal symptoms, movements, conjunctival suffusion
soreness of the throat and a dry like diarrhea and and severe backache,
cough nausea/vomiting, and kidney fever subsides after 3–4 days, the
Secondary bacterial infection is failure. temperature returns to normal for a
common following influenza couple of days and then the fever
returns
diagnostic -a four-fold increase in take Nasopharyngeal swab Blood tests show leucopenia and
complement-fixing antibody or the specimen to do Polymerase thrombocytopenia.
haemagglutinin antibody measured chain reaction (PCR) Isolation of dengue virus by tissue
at onset and after 1–2 weeks - leukopenia, lymphopenia culture, or detection of viral RNA by
- RT-PCR Detection and and thrombocytopenia. PCR in sera ELISA
Characterization Panel -­‐  IgM  increased  
Prevention/ bed rest and paracetamol Infection control Topical insect repellents, sprays and
ttt influenza vaccines: should not breeding sites, small stagnant water
given who allergic to egg pools, should be eradicated.
-empiric antiviral to H1N1

 
 
Bushra  

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