With the rains, seasonal fever dengue has started. Malaysia and Singapore have rains all year, while dengue rains all year. In our country, dengue is from July to November. Most are in September-October.
Symptoms
In this rainy season, fever can be treated with dengue fever. We get three specific dengue symptoms: fever, rash, bleeding.Fever
Dengue usually starts from the first day with severe fever (12dph). The body is in so much pain that many people call it dengue fever (break sister disease). There is pain in the back of the eye. On the sixth day the fever subsided. If you have fever for more than seven days, it is better not to think of dengue. Saddle back fever (the first two days have been fever, there is no one or two days again and the fever comes again). In addition to such specialties, dengue can be fever, or even fever without dengue.Rash
On the sixth day of the fever, the typical rash of dengue comes out. Its name is Convalescent Confluent Petic Rash. The entire body is filled with red grains - occasionally clear skin without granules. Although scary to look at, the money coming from this rash is healing. Rash with fever is not dengue. Rash on the second day of fever means scarlet fever. The rash of ham arrives on the fourth day. On the seventh day of the rash of typhoid. Early on dengue, there may be flushing rashes like mosquito bites and red blood pressure rashes all over the body, such as ham or German mistletoe - but if convalescent confluent peticial rash, it is definitely dengue. From the very beginning of the fever, many become red (flushed) - with fingers pressed down to sit.Bleeding (hemorrhage)
In addition to bleeding, dengue fever and dengue hemorrhagic fever can occur. If bleeding (hemorrhage) is not dengue hemorrhagic fever in all cases. Bleeding can occur from anywhere in the body. Blood clots, coughs, coughs, bleeding with spit, under the skin, bleeding at the site of injection is not fatal. Menstrual bleeding is most common in girls. Even after regular menstrual periods, fever occurs monthly. Dengue is not a hemorrhagic fever, now it is called leaking disease. Due to leakage of blood vessels, blood, water and other components of blood go out of the arteries. In fact, leaking is responsible for bleeding, blood pressure reduction, pleural effusion (accumulation of water in the lungs, ascites - accumulation of water in the stomach) and all other serious problems. Pulserate is less available when a patient is diagnosed with Dengue.Diagnosis
Like all other infectious diseases, dengue is referred to as suspected, probable and confirmed during outbreaks.Suspected
In our country we can start treating any fever from July to November as suspected dengue. Dengue is not yet prevalent in our countryside. Dengue occurs in the metropolitan city, with dengue prevalence in Dhaka.Probable Dengue
Anti-Body Test With Symptoms If Positive.Confirmed Dengue: When the virus islets. The virus is found in the blood in the first four to five days of fever.
Dengue is described in three ways.
- Classical Dengue Fever
- Dengue hemorrhagic fever
- Dengue Shock Syndrome.
1. Classical Dengue Fever: Symptoms are similar to other fever, but they occur this season, with fever, rash and bleeding.
2. Dengue hemorrhagic fever: Similar to classical dengue fever, but there will be leaking symptoms. According to the World Health Organization definition, platelet count with symptoms is less than one million, but PCV is 25% variance, which is dengue hemorrhagic fever (DHF). It also has the characteristics of plasma leakage (eg effusions, ascites, hypo albuminia, etc.). So even if there is no bleeding, dengue can cause hemorrhagic fever (DHF). And if platelet count is low this season, it's good to check if there is dengue hemorrhagic fever (DHF).
Staging: Febrile period: first five to six days during fever.
The next two to three days after the Ephabrine Period.
Convulsant Period: The next few days.
Affibril period is called the critical period because of this time leaking or bleeding. Pressure is reduced, it becomes difficult to save when in doubt. Physicians and patients need to be careful with blood pressure and fluid therapy. Therefore, dengue fever is meant to be cured but not cured and the next two days should be taken with caution.
Dengue hemorrhagic fever grading: grade-1: fever, tourniquet test positive but no bleeding.
Grade-2: There is bleeding but pressure, pulse is okay.
Grade-1: Pressure low, pulse high but available.
Grade-1: No pressure, no pulse.
3. Dengue Shock Syndrome: Grade 7 and grade-1 are collectively known as dengue shock syndrome.
Laboratory Examination: It is best to start on the third day for any fever test. The flu recovers in three days, Scarlet fever becomes diagnosed within three days. Viral fever does not last more than seven days. If the fever does not last more than seven days then you have to think of bacterial fever (typhoid, etc.).
During the season so we have to keep in mind the other viral fever, typhoid, malaria, rickettsia, leptospirosis and latent swine flu along with dengue in our country.
Primary Blood Test: BCB (Complete Blood Count):
TC DC: Decreased TC (normal 1-5 thousand). If 2 thousand or 1.5 thousand it is nothing but dengue. Other viral fever, typhoid, malaria, rickettsia tc remain normal, but not so low.
Hemoglobin: This is not the case with any other infection that leads to dengue.
ESR: In all viruses including dengue, ESR is normal or decreases, leading to typhoid.
PCV: Dengue leads to hemorrhagic fever. Classical dengue is normal.
Platelet count (normal 1.5 to 1.5 million). Dengue will drop below one million in hemorrhagic fever. Many go down to ten thousand (in most cases nothing fatal).
Other tests: Blood cultures and malaria tests need to be done in our country in the first week for all fever.
Anti Body Test: Should be done in the second week. Diagnosis requires more than IGM anti-dengue positive, IG anti dengue does not imply recent (recent) infection. Liver Function Test: SGOT in dengue leads to more than SGPT. Chest x-ray and abdominal ultrasonography can be done to look for pleural effusions (deposits of water in the lungs), ascites.
Treatment: Symptomatic fever: Paracetamol: 3-5 mg / kg intervals of 3 hours a day (divided into 5 doses). If it is more than 12 more then 3 or 5 mg. If the fever does not come to 3, then it is enough if it is below 0. There is no drug other than paracetamol in any opinion. Many give indomethacosis, diclofenac suppository, they increase blood flow, increase the chances of being shocked. There is no damage to the paracetamol suppository. Regularly sponging, bathing, leaving AC, having a short cloth and drinking water in the name of fever.
Water: 2 to 2.5 liters of water should be ensured. This is the real treatment of dengue. If you do not eat, you need to give saline.
Dengue hemorrhagic fever grade-1 and dengue fever does not take much. Can be treated at home. If there is no complication, dengue hemorrhagic fever grade-2 and treatment can be done at home. If the abdominal pain is not diminished, there is a dark closet like alcatara, abol tbal says, etc. If you have to go to the hospital.
Grade-I and 3-I have to be taken to the hospital for normal saline. Start / increase / decrease by 5 drops / min so that pulse pressure is 20 or more and systolic pressure is more than 1 and urine volume (1-5 ml per hour) is normal. If the bleeding is high and the blood pressure is low then the PCV should be lowered. If PCV is high, severe bleeding occurs only if platelet is not needed.
Platelets: Because platelets are tightly bandaged, counting on the machine will result in incorrect reports, so there is no need to panic or no transfusion. Dengue bleeding is not just for reducing platelets. Other illnesses of platelets also decreased. If you are not less than 20 thousand, you (spontaneous) do not bleed. If the platelet count is not less than 1 thousand, there is no bleeding in the internal organs (heart, brain), etc. It takes four donors to make a single platelet. If you count from four to four, the count increases to only twenty thousand, while the cost is twenty-six hundred. So you should think twice before ordering a platelet. If not panic, it does not really have platelets. Remember, to prevent dengue, mosquitoes need to be protected from mosquito bites.
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