Doctor insights on:
How To Manage Dengue Hemorrhagic Fever
Dengue Fever: You can avoid travel to areas where Dengue is endemic. Protect against mosquitoes wi permethrin applied to long pants, long sleeved shirts, shoes / socks & 10% DEET for skin. When in endemic areas avoid being out at dusk or dawn. Ensure that building has good screens on window & use bed netting. Remove sources of standing water near the house. As of this writing 6 vaccines are in development ...Read moreSee 1 more doctor answer
Avoid Mosquitos: If you are traveling to an area where dengue is endemic, be sure to wear appropriate clothing during the day (that's when this type of mosquito is active) and a repellant. I don't know where you live or if you're traveling, but it's a broad question. ...Read moreSee 1 more doctor answer
Multiple factors: Clinical evidence of liver involvement in dengue infections includes the presence of hepatomegaly and increased serum liver enzymes. Dengue viral antigens have been found within hepatocytes, and the virus appears to be able to replicate in both hepatocytes and kupffer cells, and dysregulated host immune responses may play an important causative role in liver damage. ...Read moreSee 1 more doctor answer
Good question: I don't think the exact mechanism is known, but the body's immune response to the virus is responsible for most of the symptoms, . Including the "bone-breaking" pain. In the hemorrhagic fever form, the prior exposure has already created antibodies against the virus and their levels are higher, leading to the bleeding complications. ...Read moreSee 1 more doctor answer
Dengue treatment: Most cases of dengue fever are mild and require no specific treatment. More severe cases may be treated with fluids and pain relievers as dengue can cause dehydration and significant pain, hence the name 'breakbone fever'. The most worrisome form of dengue, 'dengue haemorrhagic fever' may require blood or blood component transfusion. ...Read more
Dengue diagnosis: Most infections with dengue are mild and pass mostly unnoticed. More severe symptoms can include sudden fever, headache , typically right behind the eyes, a characteristic severe deep ache in the muscles and bones, for which dengue is also known as "break bone fever" and sometimes rashes and bleeding. There is an antibody blood test that establishes the diagnosis. ...Read moreSee 1 more doctor answer
Mosquito patrol: Keep roof gutters clean from debris. Don’t allow standing water – empty kiddy pools & change water in birdbaths regularly. Many outdoor items can be purchased that have been pre-treated with permethrin. Use bed netting when sleeping. Spray the walls of the home with insecticide. Wear long pants & long sleeved shirts from dusk to dawn. Use Permethrin spray on clothing and mosquito netting. ...Read moreSee 1 more doctor answer
Prevention, Abx: 1. Prevention - keep away from mosquitoes - cover up arms, legs, neck; use mosquito netting, use mosquito repellent 2. Treatment - if develop dengue, drink lots of filtered water and see a doctor for antibiotics. Then prevent any more mosquito bites. ...Read more
Dengue treatment : There is no cure for dengue- only what we call supportive treatment. That means, if necessary, the patient can be placed in the hospital and given IV fluids, pain medications and continuous monitoring until they get better. Good to avoid mosquito bites - esp now that it's rainy season there. ...Read moreSee 2 more doctor answers
Cannot: Ns 1 is a protein not made in the virus but accumulates on the surface of infected cells and is one of the factors which plays a major role in the leakage syndrome and hemorrhagic nephritis syndrome which may occur in severe dengue infection. This must be managed symptomatically. You cannot cure dengue. Vaccine hopefully in future. ...Read more
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