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Dengue hemorrhagic fever and dengue shock syndrome. but after the third or fourth day of the disease arise bleeding because of the bleeding of small vessels and in the internal organs. malaise. abdominal pain (especially in children). DEN-3 and DEN-4. pallor and loss of consciousness. red spots on the skin. DEN-2. The person affected by the disease has an almost imperceptible pulse. dengue fever.Dengue is an acute. In dengue hemorrhagic fever. cardio respiratory problems. After this period. the person may still feel tired and unwell. liver failure. gingival. febrile infectious disease caused by a virus of Flaviridae family and is transmitted through the mosquito Aedes aegypti. Among them. there are four types of dengue fever since the virus causing the disease has four serotypes: DEN-1. Worldwide. dengue fever is considered as a major public health problems worldwide. gastrointestinal or uterine bleeds. Dengue shock syndrome This is the most serious presentation of dengue fever and is characterized by a large drop or absence of blood pressure. can lead to death. nausea. If the disease is not treated quickly. If the disease is not treated quickly it can lead to death. Initially is resembling dengue classic. The vast majority of dengue infections have no symptoms. muscle aches and joint pain. which can cause dizziness. there are records of various complications such as neurological. collapse and shock. Currently. In this type of presentation of the disease. The infected person has high fever (39 ° to 40 ° C). Classic dengue fever Dengue fever lasts for 5-7 days. The dengue fever symptoms are lasting up to one week. Among dengue hemorrhagic fever symptoms are nosebleeds. Dengue Hemorrhagic Dengue hemorrhagic fever is a serious disease and is characterized by changes in blood coagulation of the infected person. vomiting. Silent infection The person is infected with the virus but shows no symptoms. gastrointestinal bleeding and pleural effusion. . tiredness. urinary. stand out classical dengue fever and dengue hemorrhagic fever. the patient's blood pressure drops. restlessness. Dengue fever Clinical Classification Dengue can present clinically in four different ways: silent infection. headache.

Dengue fever vaccine There is no dengue fever vaccine but exists some possible vaccines.40 °) Asthenia Severe headache Intense muscle pain and joint pain (arthralgia) Macular erythematous rash Generalized lymphadenopathy Moderate hepatomegaly. In most cases the dengue fever symptoms have short life. Typically fever reappears a few days later. This transformation of the disease between the second and the fifth day guide to the more severe form of hemorrhagic dengue especially if one is in a context of strong epidemiological prevalence of this form. Recovery time is usually very long. with a predilection for urban and semi-urban areas. Dengue is found in the tropics and subtropics of the world. In some sever case it can be fatal. Specialists work hard in order to establish which is the most indicated. dengue fever usually heals spontaneously within a week without sequelae. The incubation period of dengue virus lasts 48 hours to 7 days but more rarely up to 15 days. Dengue fever symptoms in fact reflect the immune response of our body:        High fever (39 ° .Clinical dengue fever symptoms Generally mild. Global Occurrences of Dengue Globally. About twofifths of the world's population are now at risk. the incidence of dengue has grown dramatically in recent decades. Dengue fever treatment If you have fever and headache you should take paracetamol and you should avoid as much as possible aspirin because it can cause bleeding. and clinical signs indicate a coagulation disorder (level tasks purpuric skin bleeding from the nose or gums). After this incubation period. there is a severe worsening of the condition with an increase of dengue fever symptoms. There is no specific treatment and the patient should treat symptoms. Dengue hemorrhagic fever is a major cause of illness and death among children in some Asian countries. But sometimes. . the early physical symptoms caused by the disease are felt.

Dengue hemorrhagic fever. Dengue in Pakistan: In less than a month of September 2011. it is now a major cause of hospitalization and mortality for children. 126 people have died and more than 12. Doctors and nurses who know how to recognize symptoms and treat the effects. Other statistics:   It is estimated that each year are 500. the fatality rate of dengue hemorrhagic fever can exceed 20%. Southern province Sindh has seen 400 suspected cases and six deaths. including a very high proportion of children which require hospitalization. It is very well if you can sleep under a net treated with insecticide. Approximately 2. two fifths of the world population. was recognized for the first time in 50 years during epidemics in the Philippines and Thailand. People should cover up and use an insect repellent. but today is found in most Asian countries and in many of them.584 people afflicted. It is caused by Marburg virus. The global impact of dengue has grown dramatically in recent decades. are now at risk.5 billion people. with an increased risk of mortality.000 have been diagnosed with the virus. Death occurs in at least 2. The most important thing is to avoid areas where the mosquitoes are present. Without proper treatment.5% of cases. which is part of the same family as Ebola hemorrhagic fever virus producing. which has spread rapidly among both rich and poor in Pakistan’s cultural capital Lahore. there are some personal measures that everyone can take in order to avoid dengue. can reduce death rates to less than 1%. You should take care because the repellent can be dangerous if you don't wash your hands after you used it. Dengue hemorrhagic fever is a serious illness.000 cases of dengue hemorrhagic fever. These are some of the most virulent pathogens known. Pakistan’s most populous province and the country’s political heartland. at least 130 people have been diagnosed and six have died. “This dengue has become a calamity. 10. Take care with kids because their skin is more sensitive. the provincial capital of Punjab.”Of the more than 11. . Dengue fever prevention: Even if any vaccine doesn't exist. In Khyber Paktunkhwa.244 come from Lahore alone.

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