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------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ OVERVIEW Dengue fever is an infectious disease carried by mosquitoes and caused by any of four related dengue viruses. This disease used to be called "break-bone" fever because it sometimes causes severe joint and muscle pain that feels like bones are breaking, hence the name. Health experts have known about dengue fever for more than 200 years. Worldwide, more than 100 million cases of dengue infection occur each year. CAUSE Dengue fever can be caused by any one of four types of dengue virus: DEN-1, DEN-2, DEN-3, and DEN-4. You can be infected by at least two, if not all four types at different times during your lifetime, but only once by the same type. TRANSMISSION You can get dengue virus infections from the bite of an infected Aedes mosquito. Mosquitoes become infected when they bite infected humans, and later transmit infection to other people they bite. Two main species of mosquito, Aedes aegypti and Aedes albopictus, have been responsible for all cases of dengue transmitted in this country. Dengue is not contagious from person to person. SYMPTOMS Symptoms of typical uncomplicated (classic) dengue usually start with fever within 5 to 6 days after you have been bitten by an infected mosquito and include
The rash may appear over most of your body 3 to 4 days after the fever begins. You may get a second rash later in the disease. Symptoms of dengue hemorrhagic fever include all of the symptoms of classic dengue plus
This form of dengue disease can cause death. Symptoms of dengue shock syndrome-the most severe form of dengue disease-include all of the symptoms of classic dengue and dengue hemorrhagic fever, plus
This form of the disease usually occurs in children (sometimes adults) experiencing their second dengue infection. It is sometimes fatal, especially in children and young adults. DIAGNOSIS Your health care provider can diagnose dengue fever by doing two blood tests, 2 to 3 weeks apart. The tests can show whether a sample of your blood contains antibodies to the virus. In epidemics, a health care provider often can diagnose dengue by typical signs and symptoms. TREATMENT There is no specific treatment for classic dengue fever, and like most people you will recover completely within 2 weeks. To help with recovery, health care experts recommend
CDC advises people with dengue fever not to take aspirin. Acetaminophen or other over-the-counter pain-reducing medicines are safe for most people. For severe dengue symptoms, including shock and coma, early and aggressive emergency treatment with fluid and electrolyte replacement can be lifesaving. PREVENTION The best way to prevent dengue fever is to take special precautions to avoid contact with mosquitoes. Several dengue vaccines are being developed, but none is likely to be licensed by the Food and Drug Administration in the next few years. When outdoors in an area where dengue fever has been found
Because Aedes mosquitoes usually bite during the day, be sure to use precautions especially during early morning hours before daybreak and in the late afternoon before dark. Other precautions include
COMPLICATIONS Most people who develop dengue fever recover completely within 2 weeks. Some, however, may go through several weeks to months of feeling tired and/or depressed. Dengue · Dengue [DEN-ghee] is a flu-like viral disease spread by the bite of infected mosquitoes. Dengue hemorrhagic fever is a severe, often fatal, complication of dengue. · Dengue occurs in most tropical areas of the world. Most U.S. cases occur in travelers returning from abroad, but the Dengue risk is increasing for persons living along the Texas-Mexico border and in other parts of the southern United States. · There is no specific treatment for Dengue. · Prevention centers on avoiding mosquito bites in areas where Dengue occurs or might occur and eliminating breeding sites. What is Dengue fever? What is Dengue hemorrhagic fever? Dengue fever is a flu-like illness spread by the bite of an infected mosquito. Dengue hemorrhagic fever is a severe, often fatal, complication of Dengue fever. What is the infectious agent that causes Dengue? Dengue and Dengue hemorrhagic fever are caused by any of the Dengue family of viruses. Infection with one virus does not protect a person against infection with another. How is Dengue spread? Dengue is spread by the bite of an Aedes mosquito. The mosquito transmits the disease by biting an infected person and then biting someone else. Where is Dengue found? Dengue viruses occur in most tropical areas of the world. Dengue is common in Africa, Asia, the Pacific, Australia, and the Americas. It is widespread in the Caribbean basin. Dengue is most common in cities but can be found in rural areas. It is rarely found in mountainous areas above 4,000 feet. The mosquitoes that transmit Dengue live among humans and breed in discarded tires, flower pots, old oil drums, and water storage containers close to human dwellings. Unlike the mosquitoes that cause malaria, Dengue mosquitoes bite during the day. What are the signs and symptoms of Dengue fever and dengue hemorrhagic fever? Dengue fever usually starts suddenly with a high fever, rash, severe headache, pain behind the eyes, and muscle and joint pain. The severity of the joint pain has given dengue the name "breakbone fever." Nausea, vomiting, and loss of appetite are common. A rash usually appears 3 to 4 days after the start of the fever. The illness can last up to 10 days, but complete recovery can take as long as a month. Older children and adults are usually sicker than young children. Most Dengue infections result in relatively mild illness, but some can progress to Dengue hemorrhagic fever. With Dengue hemorrhagic fever, the blood vessels start to leak and cause bleeding from the nose, mouth, and gums. Bruising can be a sign of bleeding inside the body. Without prompt treatment, the blood vessels can collapse, causing shock (Dengue shock syndrome). Dengue hemorrhagic fever is fatal in about 5 percent of cases, mostly among children and young adults. How soon after exposure do symptoms appear? The time between the bite of a mosquito carrying Dengue virus and the start of symptoms averages 4 to 6 days, with a range of 3 to 14 days. An infected person cannot spread the infection to other persons but can be a source of Dengue virus for mosquitoes for about 6 days. How is Dengue diagnosed? Dengue is diagnosed by a blood test. Who is at risk for Dengue? Anyone who is bitten by an infected mosquito can get Dengue fever. Risk factors for Dengue hemorrhagic fever include a person's age and immune status, as well as the type of infecting virus. Persons who were previously infected with one or more types of Dengue virus are thought to be at greater risk for developing Dengue hemorrhagic fever if infected again. What is the treatment for Dengue and Dengue hemorrhagic fever? There is no specific treatment for Dengue. Persons with Dengue fever should rest and drink plenty of fluids. They should be kept away from mosquitoes for the protection of others. Dengue hemorrhagic fever is treated by replacing lost fluids. Some patients need transfusions to control bleeding. How common is Dengue? In tropical countries around the world, Dengue is one of the most common viral diseases spread to humans by mosquitoes. Tens of millions of cases of Dengue fever and up to hundreds of thousands of cases of Dengue hemorrhagic fever occur each year. In the United States, approximately 100 cases of Dengue are reported each year in travelers returning from tropical areas. Many more cases probably go unreported. A few persons have become infected with Dengue while living in the United States. Aedes mosquitoes are found in Texas, Florida, and other southern states, and locally acquired dengue has been reported three times since 1980 in southern Texas. Is Dengue an emerging infectious disease? Yes. All types of Dengue virus are re-emerging worldwide and causing larger and more frequent epidemics, especially in cities in the tropics. The emergence of Dengue as a major public health problem has been most dramatic in the western hemisphere. Dengue fever has reached epidemic levels in Central America and is threatening the United States. Several factors are contributing to the resurgence of Dengue fever: · No effective mosquito control efforts are underway in most countries with Dengue. · Public health systems to detect and control epidemics are deteriorating around the world. · Rapid growth of cities in tropical countries has led to overcrowding, urban decay, and substandard sanitation, allowing more mosquitoes to live closer to more people. · The increase in non-biodegradable plastic packaging and discarded tires is creating new breeding sites for mosquitoes. · Increased jet air travel is helping people infected with Dengue viruses to move easily from city to city. Dengue hemorrhagic fever is also on the rise. Persons who have been infected with one or more forms of Dengue virus are at greater risk for the more severe disease. With the increase in all types of virus, the occurrence of Dengue hemorrhagic fever becomes more likely. There is no vaccine to prevent Dengue
From- Ramakrishnan Raman |
