Fever at home. When tested, many people are caught with dengue. This virus is spreading. For this reason, it is important to be very careful about dengue.
Aedes mosquito-borne virus disease is dengue. Aedes aegypti mosquitoes do not live in the wild. Does not bite at night. Spotted mosquitoes can bite many people at once. Like a malaria mosquito, one does not feed on blood.
Symptoms: Fever is the main symptom. Skin rashes (rash), some people get bleeding.
Fever: Like other viral fevers, dengue fever does not last more than seven days. Patients come with high fever from the first day. Six days of continuous high temperature may lead to fever. If after two days there is no fever for one day and then there is fever for two days then the fever is gone. Unless there is another infection, dengue fever does not last more than six days unless it is extended.
Pain: Pain is more common in dengue. Many people compare it to breaking bone disease. Dengue causes retroorbital pain behind the eyes.
Bleeding: May occur in the skin, mouth, esophagus, eyes. But what happens more is girls. Menstruation occurs once, but menstruation occurs again in the same month.
Rash: The typical dengue rash appears on the sixth day of fever. Then there is no fever. Hence it is called convalescent confluent petechial rash. Starts from feet or hands - can be recognized by sight, no need to look for it. Dengue can cause other rashes that are not typical. Another thing is at the beginning of the fever - if you press on the body, you get a finger print, that is, flushing.
Dengue has three phases.
The febrile phase consists of fever and febrile symptoms.
During the afebrile phase, the fever goes away. But it is also called critical phase. Because this stage of dengue hemorrhagic fever can cause serious complications. Dengue is therefore different from other fevers because the real problem is only after the fever has passed. It lasts for 2 days. Even if there is no fever, you have to be careful at this time.
Convalescent Phase - Most get better but some get very weak. Suffers from depression.
There are two types of dengue
Classical dengue fever: No problem if you don't get scared like ten viral fevers.
Dengue Hemorrhagic Fever: Classical dengue has everything. There are some additional problems due to the leakage of blood vessels. Improper handling can be life threatening.
Dengue hemorrhagic fever if the platelet count is less than 100,000 and the hematocrit is 20% variation with fever. Other symptoms of leaking may include fluid in the stomach or lungs or decreased protein in the blood.
Dengue hemorrhagic fever is divided into four grades:
Grade-1: There is no evidence of hemorrhage other than a positive tunicate test.
Grade-2: There is visible bleeding. So, if there is no bleeding but there are symptoms of leaking with fever, it is dengue hemorrhagic fever.
Grade-3 : Blood pressure decreases with 1 or 2, pulse increases.
Grade-4: 1 or 2 with blood pressure, pulse not recordable.
Grades 3 and 4 together are called dengue shock syndrome. Dengue shock syndrome, especially grade-4, has a worse outcome if not prevented.
Laboratory tests
No febrile patient should be tested for 3 days unless very toxic.
TC DC Hemoglobin ESR, SGPT: Count is not elevated in viral fever. So is typhoid malaria. If the count goes down especially below 3000 it is definitely dengue, honestly this is the cheapest test available. If SGPT is too high, it is viral hepatitis. In other fevers it increases but not more than 1/2 times. Dengue is not a hepatotropic virus.
NS1 Antigen: This is the definitive test for dengue in the first week of fever. It is positive during fever. It is not necessary to do this after six days after the fever is gone.
Virus Isolation: This is also a useful test in the presence of fever but is not done except in a research lab.
Antibody test: It is not effective as it is positive after seven days. It is not needed if NS-1 antigen can be made.
Platelet count and hematocrit: It is not essential unless there is a platelet crisis. Hemorrhagic fever requires diagnosis and follow-up.
In case of hemorrhagic fever, abdominal ultrasonography and chest X-ray are needed to confirm fluid in the abdomen and lungs.
treatment
Paracetamol: As with other fevers, fever should be brought down with paracetamol. Keep the fever down to 100. No need to do 97. Medicines other than paracetamol should not be used. NSIDs (diclofenac, indomethacin) can cause rapid fever, sweating, shock, and kidney damage. Bleeding in the esophagus can be life-threatening by accelerating bleeding. Suppositories contain only paracetamol, nothing else. Five hundred mg of paracetamol should be taken every time divided into four doses. After that, if it is more than 102, one thousand mg of paracetamol can be taken at once.
Water: Drink three liters of water for a few days. It is better if you can take saline if necessary.
Paracetamol and water are the real treatment for dengue.
Nutrition: During fever there is loss of appetite, vomiting. Fruit juice can provide beneficial water and fewer calories. Eat normal food.
Classical dengue and grade-1 haemorrhage do not require more than this and should be treated at home. An additional problem in grade-2 is that if not caught early, it can progress to grade-3 or grade-4 i.e. shock if left untreated. In fact, the dengue doctor has only one responsibility; That is shock prevention. Blood pressure should be monitored so that the pulse pressure is more than 20. Systolic pressure should be kept above 90. To do this, water should be given, saline should be given. Monitor blood pressure and urine outputMust stay. In grade-2, if it is seen that the stomach pain is not reducing, vomiting or the pressure is not normal, then it should be taken to the hospital. It is more common in children. It also happens with indomethacin, diclofenac suppositories.
warning
This domesticated mosquito hides in the house, under the bed, in the folds of the curtains, under the basin. Propagation in water. In small containers with less than 5 days of frozen water. Not in the sewer, not in the dirty water accumulated day after day in the sink, not in the clean flowing water of the river, sea, bill. This mosquito breeds in the water in the puddles under the flower tubs, standing water on the roadside on rainy days, water in construction materials, Pepsi cans, standing water in coconut shells.
Mosquitoes should be sprayed inside the house, under the table, behind the door, in the folds of the curtains, under the sink. The day's work can be started with a spray in the morning. While sitting in any chamber, coaching center, wear full sleeve clothes, socks, feet with socks under the table. Keep mosquito repellent machine at home. Sleep with a mosquito net during the day.
