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Dengue fever
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Dengue fever
Backround
Dengue has been called the most important mosquito-transmitted viral disease in terms of morbidity and mortality. Dengue fever is a benign acute febrile syndrome occurring in tropical regions. In a small proportion of cases, the virus causes increased vascular permeability that leads to a bleeding diathesis or disseminated intravascular coagulation (DIC) known as dengue hemorrhagic fever (DHF). Secondary infection by a different dengue virus serotype has been confirmed as an important risk factor for the development of DHF. In 20-30% of DHF cases, the patient develops shock, known as the dengue shock syndrome (DSS). Worldwide, children younger than 15 years comprise 90% of DHF subjects;1 however, in the Americas, DHF occurs in both adults and children.
Dengue is a homonym for the African ki denga pepo, which appeared in English literature during an 1827-28 Caribbean outbreak. The first definite clinical report of dengue is attributed to Benjamin Rush in 1789, but the viral etiology and its mode of transmission via mosquitos were not established until the early 20th century.
Pathophysiology
Dengue viral infections frequently are not apparent. Classic dengue primarily occurs in nonimmune, nonindigenous adults and children. Symptoms begin after a 5- to 10-day incubation period. DHF/DSS usually occurs during a second dengue infection in persons with preexisting actively or passively (maternally) acquired immunity to a heterologous dengue virus serotype. Illness begins abruptly with a minor stage of 2-4 days' duration followed by rapid deterioration. Increased vascular permeability, bleeding, and possible DIC may be mediated by circulating dengue antigen-antibody complexes, activation of complement, and release of vasoactive amines. In the process of immune elimination of infected cells, proteases and lymphokines may be released and activate complement coagulation cascades and vascular permeability factors.
Treatment
Prehospital Care
Initiate supportive therapy
Intravenous (IV) crystalloids, as needed to keep systolic blood pressure above 90 mm Hg
O2, empirically
Emergency Department Care
Supportive therapy
IV access, O2, and monitoring are helpful.
IV crystalloids may be necessary for hypotension; central line may be needed.
Correct electrolyte abnormalities and acidemia.
Implement therapy for DIC if indicated.
Corticosteroids are not helpful.
No antiviral therapy is available.
Consultations
Infectious disease
Travel clinic, if available
Medication
No specific medications are indicated for direct treatment of the dengue virus infection.
Source: EMEDICINE.MEDSCAPE
Dengue has been called the most important mosquito-transmitted viral disease in terms of morbidity and mortality. Dengue fever is a benign acute febrile syndrome occurring in tropical regions. In a small proportion of cases, the virus causes increased vascular permeability that leads to a bleeding diathesis or disseminated intravascular coagulation (DIC) known as dengue hemorrhagic fever (DHF). Secondary infection by a different dengue virus serotype has been confirmed as an important risk factor for the development of DHF. In 20-30% of DHF cases, the patient develops shock, known as the dengue shock syndrome (DSS). Worldwide, children younger than 15 years comprise 90% of DHF subjects;1 however, in the Americas, DHF occurs in both adults and children.
Dengue is a homonym for the African ki denga pepo, which appeared in English literature during an 1827-28 Caribbean outbreak. The first definite clinical report of dengue is attributed to Benjamin Rush in 1789, but the viral etiology and its mode of transmission via mosquitos were not established until the early 20th century.
Pathophysiology
Dengue viral infections frequently are not apparent. Classic dengue primarily occurs in nonimmune, nonindigenous adults and children. Symptoms begin after a 5- to 10-day incubation period. DHF/DSS usually occurs during a second dengue infection in persons with preexisting actively or passively (maternally) acquired immunity to a heterologous dengue virus serotype. Illness begins abruptly with a minor stage of 2-4 days' duration followed by rapid deterioration. Increased vascular permeability, bleeding, and possible DIC may be mediated by circulating dengue antigen-antibody complexes, activation of complement, and release of vasoactive amines. In the process of immune elimination of infected cells, proteases and lymphokines may be released and activate complement coagulation cascades and vascular permeability factors.
Treatment
Prehospital Care
Initiate supportive therapy
Intravenous (IV) crystalloids, as needed to keep systolic blood pressure above 90 mm Hg
O2, empirically
Emergency Department Care
Supportive therapy
IV access, O2, and monitoring are helpful.
IV crystalloids may be necessary for hypotension; central line may be needed.
Correct electrolyte abnormalities and acidemia.
Implement therapy for DIC if indicated.
Corticosteroids are not helpful.
No antiviral therapy is available.
Consultations
Infectious disease
Travel clinic, if available
Medication
No specific medications are indicated for direct treatment of the dengue virus infection.
Source: EMEDICINE.MEDSCAPE

Dhugz- .

- Posts: 770
Join date: 2010-03-10
Re: Dengue fever
Alarming incidence we're having now in the Phils .... OFF LOTION needed!

element_115x- .

- Posts: 341
Join date: 2010-01-23
Location: Quezon City, Philippines
Re: Dengue fever
bakit kaya sa pinas lang may dengue outbreak? how about sa ibang bansa?

miss_terry- .

- Posts: 458
Join date: 2010-07-15
Age: 21
Location: Batangas
Re: Dengue fever
Sobrang linis daw ng mga pinoy sa kanilang mga paligid at katawan kaya ayun fave na fave ng mga lamok ang mga Pinoy 
fredms3- .

- Posts: 982
Join date: 2010-07-22
Re: Dengue fever
Hahaha.
Tamaaaa.
O baka naman nasa klima din?
Ang major major daw na maraming dengue cases ay sa QC nga ba
and in Region 6, Bicol Region?
Tamaaaa.
O baka naman nasa klima din?
Ang major major daw na maraming dengue cases ay sa QC nga ba
and in Region 6, Bicol Region?

miss_terry- .

- Posts: 458
Join date: 2010-07-15
Age: 21
Location: Batangas
Re: Dengue fever
Not sure sis kung saan ang major major (wow venus ang dating ah) na concentration ng dengue....ang alam ko lang ay nakarating na 'to sa Visaya area.
Watch nga ako mamaya ng balita kay Ar-ar at Vicky Morales.
Watch nga ako mamaya ng balita kay Ar-ar at Vicky Morales.
fredms3- .

- Posts: 982
Join date: 2010-07-22
Re: Dengue fever
miss_terry wrote:Hahaha.
Tamaaaa.
O baka naman nasa klima din?
Ang major major daw na maraming dengue cases ay sa QC nga ba
and in Region 6, Bicol Region?
Sa Batangas ba sis ala pang dengue cases?
fredms3- .

- Posts: 982
Join date: 2010-07-22
Re: Dengue fever
fredms3 wrote:Sobrang linis daw ng mga pinoy sa kanilang mga paligid at katawan kaya ayun fave na fave ng mga lamok ang mga Pinoy
Hahaha in fact pati ang mga dengue mosquito ay sobrang linis, sa malinis na tubig lang sila ng be-breed.


RavlaM- .

- Posts: 974
Join date: 2010-07-31
Re: Dengue fever
Nakaka-alarma ang sinuman madapuan ng dengue kasi kahit mga artista ay nadadapuan din ng virus na ito.
Ang kawawa ay yaong mga mahihirap kasi hindi nila kayang tustusan ang pagpagamot lalo na kapag nangangailangan ng dugo na pansalin sa apektadong dugo.
Ang kawawa ay yaong mga mahihirap kasi hindi nila kayang tustusan ang pagpagamot lalo na kapag nangangailangan ng dugo na pansalin sa apektadong dugo.
_________________

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harballah- ...

- Posts: 2995
Join date: 2010-03-24
Location: Jeddah, Saudi Arabia
Re: Dengue fever
Para din pala silang mga malaria mosquitoes. Sa malinis na tubig lang sila naninirahan.
Teka, to go back to the religious theme of this forum, sino ba ang nag-create sa mga pesteng lamok na ito? Si God din ba? At bakit niya ginawa ito? Dahil ba sa tinatawag na freewill? Kailan niya ginawa ito, sabay sa ibang hayop o saka na lang nang nagkasala na sina Adan?
Teka, to go back to the religious theme of this forum, sino ba ang nag-create sa mga pesteng lamok na ito? Si God din ba? At bakit niya ginawa ito? Dahil ba sa tinatawag na freewill? Kailan niya ginawa ito, sabay sa ibang hayop o saka na lang nang nagkasala na sina Adan?
_________________
The Old BARM is to OT, just as the New BARM is the NT.

Ateo- ...

- Posts: 1019
Join date: 2010-03-29
Location: New York
Re: Dengue fever
Ateo wrote:
Teka, to go back to the religious theme of this forum, sino ba ang nag-create sa mga pesteng lamok na ito? Si God din ba? At bakit niya ginawa ito? Dahil ba sa tinatawag na freewill? Kailan niya ginawa ito, sabay sa ibang hayop o saka na lang nang nagkasala na sina Adan?
Siyempre naman Ateo lahat ng nilalang na nakikita ng mata mo ay galing sa Diyos, may sagot ako sa tanong mo basi sa sinabi ng Allah subhana wa taalah sa banal na Quran.
2:155
Be sure we shall test you with something of fear and hunger, some loss in goods or lives or the fruits (of your toil), but give glad tidings to those who patiently persevere,
Iyan ang sagot ko kung dadalhin mo sa religious theme ng forum na ito.
Pagsubok ang nakikita ko diyan brad Ateo.
_________________

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harballah- ...

- Posts: 2995
Join date: 2010-03-24
Location: Jeddah, Saudi Arabia
Re: Dengue fever
Thank you, Harballah. Yang pagsu-pagsubok na yan ay isa yan sa mga pinaka-importanteng alibi ng my mananampalataya.
Hintayin natin ang mga Kristiano kung ano rin ang alibi nila.
Hintayin natin ang mga Kristiano kung ano rin ang alibi nila.
_________________
The Old BARM is to OT, just as the New BARM is the NT.

Ateo- ...

- Posts: 1019
Join date: 2010-03-29
Location: New York
Re: Dengue fever
Ateo wrote:Thank you, Harballah. Yang pagsu-pagsubok na yan ay isa yan sa mga pinaka-importanteng alibi ng my mananampalataya.
Hintayin natin ang mga Kristiano kung ano rin ang alibi nila.
Iyon sa amin Ateo ay hindi alibi kundi aral iyan sa Islam, tinatawag din namin ang mga bagay na dumadating sa amin mabuti man o masama na "Qadar/Fate".
Kaya nga Quran verse ang ipinapakita ko at hindi po opinyon ko lamang, pero nauunawaan ko po kayo kung alibi ang tingin ninyo na sagot ng mananampalatayang tulad namin at baka nakaranas kayo ng sagot ng mga kapatid natin nagpapakilalang kristiyano.
Sige wait natin sila, pero hindi kaya out of topic na ang pupuntahan nito kung sakali Ateo.
_________________

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harballah- ...

- Posts: 2995
Join date: 2010-03-24
Location: Jeddah, Saudi Arabia
Re: Dengue fever
Ateo wrote:Thank you, Harballah. Yang pagsu-pagsubok na yan ay isa yan sa mga pinaka-importanteng alibi ng my mananampalataya.
Hintayin natin ang mga Kristiano kung ano rin ang alibi nila.
Lahat ng bagay na nilalang ng Diyos ay may silbi, diko lang alam kung ano ang naidudulot na mabuti ang Lamok pero parang sa gagamba mayroong role sa mundong ito, ganyan din sa lamok siyempre, sabi nga ng Science di pwedeng mawala ang isa sa mga bagay na nairito sa mundo dahil magcause iyon ng imbalance.

Dhugz- .

- Posts: 770
Join date: 2010-03-10
Re: Dengue fever
Mosquito trap (Dengue prevention)
It's just a mix of water, brown sugar and yeast.
1. Cut a plastic bottle in half, keep both parts. Can be Coca Cola / Pepsi bottle.
2. Take the lower portion of the bottle. Dissolve the brown sugar in hot water. Let it cool down to ~70 degF.
3. Add the yeast. Carbon dioxide will form (This will attract the mosquitos)
4. Cover the bottle with a dark wrap and place the top portion upside down like a funnel. Place it in a corner in your house.
5. In 2 weeks you will be surprised by the number of mosquitos killed.


It's just a mix of water, brown sugar and yeast.
1. Cut a plastic bottle in half, keep both parts. Can be Coca Cola / Pepsi bottle.
2. Take the lower portion of the bottle. Dissolve the brown sugar in hot water. Let it cool down to ~70 degF.
3. Add the yeast. Carbon dioxide will form (This will attract the mosquitos)
4. Cover the bottle with a dark wrap and place the top portion upside down like a funnel. Place it in a corner in your house.
5. In 2 weeks you will be surprised by the number of mosquitos killed.


RavlaM- .

- Posts: 974
Join date: 2010-07-31
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