Dengue hemorrhagic fever

        It is known that four dengue virus causes dengue hemorrhagic fever. This condition appears when one gets two different viruses that cause dengue. Worldwide appear millions of cases of dengue fever each year and a small percentage transform into dengue hemorrhagic fever.

Dengue hemorrhagic fever symptoms

       Initial symptoms include the following:

• Decreased appetite
• Fever
• Headache
• Joint pain
• Muscle aches
• Vomiting

       Symptoms of acute phase

• ecchymosis
• generalized rash
• petechiae
• worsening of initial symptoms
• restlessness
• shock
• chills
• sweating

       A physical examination may indicate the following:

• Liver enlargement (hepatomegaly)
• Hypotension
• Rash
• Bloodshot eyes
• Red throat
• Lymphadenopathy
• Rapid and weak pulse

       Tests include the following:

• Arterial blood gas
• Coagulation studies
• Electrolytes
• Hematocrit
• Liver enzymes
• Platelet count
• Serologic studies
• Tourniquet test
• Chest x-ray (may demonstrate pleural effusion)

Treatment

       Only symptoms may be treated, as dengue hemorrhagic fever is triggered by a virus that yet does not have a specific cure.

• Electrolyte imbalances is corrected by electrolytes and Intravenous fluids
• Fresh blood transfusion help in correcting any bleeding troubles
• Blood oxygen levels must be treated as they tend to get very low. Oxygen therapy is usually necessary

Dengue hemorrhagic fever prognosis

       Most patients with dengue hemorrhagic fever recover with early intense care. The patients that usually do not survive are those who go into shock.

Dengue hemorrhagic fever complications

• Encephalopathy
• Residual brain damage
• Liver damage
• Seizures
• Shock