SCCM Resource Library-FCCS Dengue Fever

Pdf Summary

Dengue Fever is a mosquito-borne infection caused by four distinct dengue viruses. It can manifest as Dengue Fever, Dengue Hemorrhagic Fever, or Dengue Shock Syndrome. Common symptoms include fever, headaches, myalgia/arthralgia, and hemorrhagic manifestations.<br /><br />In a case study, a 32-year-old man presents with fever, myalgia, abdominal pain, vomiting, and rash. The immediate intervention needed includes assessing his vital signs and additional evaluations are indicated. <br /><br />Treatment for Dengue Fever focuses on symptom relief, fever control, pain relief, and hydration. Outpatient management is recommended for fever and monitoring, while inpatient management is necessary for patients with warning signs or complications. Patients with compensated or hypotensive shock require ICU admission and close monitoring of input/output status, hydration, and hemodynamic stability. Crystalloids and colloids may be used for therapy, while corticosteroids and half normal saline should be avoided.<br /><br />Key points to remember include the acute onset of high fever in Dengue Fever, the development of Dengue Hemorrhagic Fever as the fever subsides, and the severity of Dengue Shock Syndrome. Early recognition of shock state is important, and therapy may involve the use of crystalloids and colloids. Avoiding the use of corticosteroids and half normal saline is recommended.<br /><br />In summary, Dengue Fever is a mosquito-borne infection that can present in different forms. Treatment focuses on symptom relief and hydration, with inpatient management needed for severe cases. Early recognition of shock state and appropriate therapy are crucial in managing the disease.

Asset Subtitle

Crisis Management, Infection, 2017

Keywords

Dengue Fever

Dengue Hemorrhagic Fever

Dengue Shock Syndrome

mosquito-borne infection

fever

headaches

myalgia

arthralgia

hemorrhagic manifestations

case study

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