Dengue

Background

1. aedes mosquito in urban area

Diagnosis

1. incubate for 4- 7d, influenza like prodrome, fvr, ha, myalgia, LN, rash
2. dengue shock syndrome and hem fvr rare in travelers- usually in pt c prev infc
3. leukopenia, thrombocytopenia
4. dx by 4x increase in acute/ conv titres

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

Travel Medicine