Dengue: Difference between revisions
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==Treatment== | ==Treatment== | ||
*Supportive Care | |||
**APAP | |||
***DO NOT use ASA due to dz's hemorrhagic nature | |||
*IVF | |||
*Blood Component Transfusion - consider in hemorrhagic shock | |||
==Dispo== | |||
*Home - Well hydrated and non-toxic appearing | |||
*Admit - High-risk pts (ie pregnant, elderly, children, chronic dz) | |||
**ICU - pts with shock and end-organ damage | |||
==See Also== | ==See Also== | ||
Revision as of 23:08, 12 January 2014
Background
- aedes mosquito in urban area
Diagnosis
- incubate for 4- 7d, influenza like prodrome, fvr, ha, myalgia, LN, rash
- dengue shock syndrome and hem fvr rare in travelers- usually in pt c prev infc
- leukopenia, thrombocytopenia
- dx by 4x increase in acute/ conv titres
Treatment
- Supportive Care
- APAP
- DO NOT use ASA due to dz's hemorrhagic nature
- APAP
- IVF
- Blood Component Transfusion - consider in hemorrhagic shock
Dispo
- Home - Well hydrated and non-toxic appearing
- Admit - High-risk pts (ie pregnant, elderly, children, chronic dz)
- ICU - pts with shock and end-organ damage