DENGUE

 Dengue fever is a mosquito-borne tropical

disease caused by the dengue virus.
 Mosquitos serves as vector and humans are host for
the dengue virus.
 A mosquito bite sickness similar to dengue is also
known as Malaria.
 Symptoms typically begin three to fourteen days after
infection. These may include a
high fever, headache, vomiting, muscle and joint pains,
and a characteristic skin rash.
 Since dengue leads to internal bleeding, the easiest
way to observe presence of bleeding is through their
STOOL, food were given to these patients
were light colored foods only. A dark colored
stool may be presumed as cause of
continuous bleeding as long as light colored
foods (Exclusion of Dark Colored Foods –
EDCF) was strictly implemented to these
patients.
 Blood forming organ foods were not advisable
as it is still classified as dark colored foods;
thus, blood transfusion is more preferred for
replacement of blood loss.
 Global mortality rate of 1 percent. A number of
tests are available to confirm the diagnosis
including detecting antibodies to the virus or
its RNA
 Anti-inflammatory drugs were prescribed such
as aspirin, paracetamol and acetaminophen.
 In the Philippines the use of tawa-tawa plant is
widely used but up to now it is not yet approved
by FDA

Signs and symptoms

 Typically, people infected with dengue virus
are asymptomatic (80%) or have only mild
symptoms such as an uncomplicated fever. Others have
more severe illness (5%), and in a small proportion it is
life-threatening.
 Children often experience symptoms similar to those of
the common cold and gastroenteritis (vomiting and
diarrhea) and have a greater risk of severe
complications, though initial symptoms are generally mild
but include high fever.
 The characteristic symptoms of dengue are sudden-
onset fever, headache (typically located behind the
eyes), muscle and joint pains, and a rash. An alternative
name for dengue, "breakbone fever", comes from the
associated muscle and joint pains.
  Some petechiae (small red spots that do not disappear
when the skin is pressed, which are caused by
broken capillaries) can appear at this point, as may
some mild bleeding from the mucous membranes of
the mouth and nose. The fever itself is
classically biphasic or saddleback in nature, breaking
and then returning for one or two days.

 In some people, the disease proceeds to a critical

phase as fever resolves. During this period, there is
leakage of plasma from the blood vessels, typically
lasting one to two days. This may result in fluid
accumulation in the chest and abdominal cavity as well
as depletion of fluid from the circulation and decreased
blood supply to vital organs. There may also be organ
dysfunction and severe bleeding, typically from
the gastrointestinal tract. Shock (dengue shock
syndrome) and hemorrhage (dengue hemorrhagic
fever) occur in less than 5% of all cases of dengue; however, those who have previously
been infected with other serotypes of dengue virus
("secondary infection") are at an increased risk.

Dengue fever deaths per million persons in 2012   0  1  2  3  4–8  9-561