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dengue fever symptoms | symptoms for dengue fever

Patients with dengue can have a history of living in, or recent journey to, a area wherein the disorder is endemic. The incubation period is three-14 days (average, four-7 days); symptoms that start extra than 2 weeks after someone departs from a pandemic location are likely not because of dengue.

Many patients revel in a prodrome of chills, erythematous mottling of the pores and skin, and facial flushing (a sensitive and specific indicator of dengue fever). The prodrome might also remaining for two-three days. Children more youthful than 15 years typically have a nonspecific febrile syndrome, which can be followed by way of a maculopapular rash. Classic dengue fever begins with unexpected onset of fever, chills, and excessive (termed breakbone) aching of the pinnacle, returned, and extremities, as well as other signs. The fever lasts 2-7 days and can reach 41°C. Fever that lasts longer than 10 days might be no longer due to dengue.

Pain and other accompanying symptoms might also consist of any of the subsequent:

  • Headache
  • Retro-orbital ache
  • General frame ache (arthralgias, myalgias)
  • Nausea and vomiting (but, diarrhea is rare)
  • Rash
  • Weakness
  • Altered taste sensation
  • Anorexia
  • Sore throat
  • Mild hemorrhagic manifestations (eg, petechiae, bleeding gums, epistaxis, menorrhagia, hematuria)
  • Lymphadenopathy

Rash in dengue fever is a maculopapular or macular confluent rash over the face, thorax, and flexor surfaces, with islands of skin sparing. The rash typically starts on day three and persists 2-3 days.

Fever generally abates with the cessation of viremia. Occasionally, and extra usually in children, the fever abates for an afternoon and then returns, a sample that has been referred to as saddleback fever. A second rash may also occur inside 1-2 days of defervescence, lasting 1-5 days; it is morbilliform, is maculopapular, spares the hands and soles, and sometimes desquamates.

Recovery is whole however slow, with fatigue and exhaustion frequently persisting after the fever has subsided. The convalescent phase may closing for 2 weeks.

Patients are at chance for improvement of dengue hemorrhagic fever or dengue surprise syndrome at approximately the time of defervescence. Abdominal pain in conjunction with restlessness, change in mental status, hypothermia, and a drop inside the platelet rely presages the improvement of dengue hemorrhagic fever.

Of sufferers with dengue hemorrhagic fever, 90% are more youthful than 15 years. The initial segment of dengue hemorrhagic fever is similar to that of dengue fever and other febrile viral illnesses. Shortly after the fever breaks (or from time to time within 24 hours earlier than), signs of plasma leakage seem, in conjunction with the improvement of hemorrhagic signs and symptoms together with bleeding from websites of trauma, gastrointestinal bleeding, and hematuria. Patients might also present with stomach ache, vomiting, febrile seizures (in kids), and a decreased stage of cognizance.

If left untreated, dengue hemorrhagic fever maximum probably progresses to dengue shock syndrome. Common signs in drawing close surprise include stomach ache, vomiting, and restlessness. Patients additionally may additionally have signs and symptoms related to circulatory failure.

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