Dengue ideas, for prognosis, remedy, prevention and administration
Early identification and administration of Dengue illness can lower morbidity and mortality. Inside the present hyper-endemic setting in Sri Lanka, Dengue illness (Dengue Fever – DF /Dengue Haemorrhagic Fever – DHF) must be considered throughout the differential prognosis of victims presenting with acute onset of fever with headache, retro-orbital ache, myalgia, arthralgia, rash (diffuse, erythematous, macular), haemorrhagic
manifestation (petechiae, constructive tourniquet check out), leukopenia (<5000/ mm3), platelet rely ≤150,000/mm3 and rising haematocrit of 5-10%.
The victims may present with atypical manifestations like respiratory indicators akin to cough, rhinitis or injected pharynx and gastrointestinal indicators akin to constipation, colicky abdomen ache, diarrhoea or vomiting with out the classical medical presentation
described above. In any affected one who presents with shock (considerably afebrile at
presentation with chilly extremities and tachycardia with low amount pulse and hypotension) ponder Dengue Shock as a possible prognosis.
If a affected individual with extreme fever is seen with flushed face/extremities (diffuse blanching erythema in adults) and a constructive tourniquet check out (even with common platelet rely) with leukopenia (WBC <5000 /mm3) with none focus of an an infection, this can be very probably that the affected individual is having Dengue illness.
