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dengue hemorrhagic fever
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mosquito, adult feeding on the skin, mosquito, adult, mosquito, egg raft, mosquito, larvae, mosquito, pupa, antibodies, hemorrhagic dengue, dengue shock syndrome, philippine hemorrhagic fever, thai hemorrhagic fever, singapore hemorrhagic fever, dengue hemorrhagic fever, severe, potentially fatal infection that occurs, someone, immunity to one type of dengue virus is infected by a different type, spread by certain mosquitoes, aedes aegypti, bite primarily, dengue fever, four different dengue viruses have been implicated in both dengue fever, dengue hemorrhagic fever, dengue hemorrhagic fever occurs, the patient contracts a different dengue virus after previous infections, by another type, prior immunity to a different dengue virus type is important, in the production of this severe disease, worldwide, than 100 million cases of dengue fever occur every year, a small percent of these develop into dengue hemorrhagic fever, most cases, brought in from other countries, traveler who has returned, united states to pass the infection to someone who has not traveled, risk factors, dengue hemorrhagic fever include having antibodies to dengue virus from prior infection, younger than 12, female, caucasian, early symptoms of dengue hemorrhagic fever, similar to those of dengue fever, after several days the patient becomes irritable, restless, sweaty, followed by a shock -like state, bleeding, appear, pinpoint spots of blood on the skin, petechiae, larger patches of blood under the skin, ecchymoses, bleeding, occur from minor injuries, shock, death, patient survives, recovery begins after a one-day crisis period, early symptoms, fever, headache, muscle aches, joint aches, malaise, decreased appetite, vomiting, acute phase symptoms, shock-like state, sweaty, diaphoretic, cold, clammy extremities, restlessness followed, worsening of earlier symptoms, petechiae, ecchymosis, generalized rash, physical examination, reveal the following, low blood pressure, a weak, rapid pulse, rash, red eyes, red throat, swollen glands, enlarged liver, hepatomegaly, hematocrit, platelet count, electrolytes, coagulation studies, liver enzymes, blood gases, tourniquet test, petechiae below the tourniquet, x-ray, the chest, demonstrate pleural effusion, serologic studies, demonstrate antibodies to dengue viruses, serum studies from samples taken, acute illness, convalescence, increase in titer to dengue antigen, dengue hemorrhagic fever, a virus, no known cure, vaccine, treat the symptoms, rehydration, intravenous, iv, fluids, necessary to treat dehydration, iv fluids, electrolytes, used, electrolyte imbalances, a transfusion of fresh blood, platelets, correct bleeding problems, oxygen therapy needed to treat abnormally low blood oxygen, aggressive care, most patients recover from dengue hemorrhagic fever, half of untreated patients who go into shock, not survive, shock, encephalopathy, residual brain damage, seizures, liver damage, have symptoms of dengue fever, have been in an area where dengue fever is known to occur, no vaccine available, prevent dengue fever, use personal protection full-coverage clothing, netting, mosquito repellent containing deet, travel, periods of minimal mosquito activity, mosquito abatement programs, reduce the risk of infection.
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