Dengue

Dengue

Is a vascular leak syndrome and is primarily a disease of children under the age of 15 years, although it can and does occur in adults. It is characterized by sudden onset of fever, usually of 2–7 days' duration, and a variety of nonspecific signs and symptoms.

Aedes aegypti, mosquito bite

Mode of transmission:

Dengue Virus types 1, 2 , 3, 4 and Chikungunya virus

Etiologic agents

June to novemner

Peak season (rainy months)

february to april

low incidence season

6 days to 1 week

Incubation period

Sporadic

throughout the year

Epidemic

during rainy seasons

september to october 

peak months

severe, frank

With flushing, sudden high fever, severe hemorrhage, followed by sudden drop of temperature, shock and terminating in recovery or death.

Moderate

With high fever, but less hemorrhage or no shock

Mild

With slight fever, with or without petechial hemorrhage but epidemiologically related to typical cases usually discovered in the course of investigation of typical cases

First 4 days

Abrupt High fever
•Abdominal pain
•Headache
•Flushing accompanied by vomiting,
conjunctival infection and epistaxis

4th-7th day

TOXIC or HEMORRHAGIC STAGE.

Lowering of temperature, severe abdominal pain, vomiting, and frequent bleeding from gastrointestinal tract in the form of melena or hematemesis.

Cardiac: Unstable BP, Narrow pulse pressure and shock.

7th to 10th day

Also known as CONVALESCENT or RECOVERY STAGE.

Stabilized Blood pressure, Regained Appetite, No bleeding episodes

Paracetamol

fever and muscle pains

Analgesics

Headache

ORESOL

to treat moderate dehydration

Low FAT, Low FIBER, Non-Irritating Carbonated.

Noodle soup

no dark colored foods

Diet