• Sunday, February 07th, 2010
Patients with dengue hemorrhagic fever (DHF), especially children, vulnerable to impaired fluid balance. This could be fatal, occurred by shock syndrome that ends in death. Shock syndrome usually occurs in the third or fourth day since fever occurrence. In fact, at this moment fever usually subside.
Dengue virus infection can lead to leakage of plasma so that the liquid will fill the cavity around the heart, lung, and stomach, resulting in swelling. On the other hand, the body fluid deficiency. Dengue infection that do not cause leakage of plasma called dengue fever. This type of relatively mild and not life-threatening.
The signs of shock to consider is the patient’s anxiety, there was a marked decrease in consciousness with the patient was sleepy and wanted to sleep, no appetite, abdominal pain, no appetite, and rarely urinate.
If the shock occurs without any prolonged medical action could result in death. To prevent shock, DHF patients must given plenty of fluids, either by mouth or infusion.
• Saturday, February 06th, 2010
Although the beginning of the disease is almost similar, but the two dengue virus infection have different levels of severity.
Dengue fever and dengue hemorrhagic fever (DHF) is a contagious disease caused by dengue virus transmitted by Aedes aegypti mosquitoes. Dengue virus infection spreads quickly and can attack many people in the epidemic. More severe conditions experienced by the children.
DHF is a more severe form of dengue fever because of bleeding and shock may occur which sometimes could be fatal, which is death. Symptoms of dengue fever or DHF is generally quite similar. “In the initial phase, the two diseases couldn’t be distinguished,” he said.
In general, the dengue fever and DHF are typical.
Dengue fever
- Acute fever for 2-7 days, accompanied by headache, sore muscles and joints
- Can be accompanied decrease in platelets.
- The heat will come down on the third or fourth day.
- Better cure rate.
DHF:
- Sudden high fever, accompanied by headache, pain in the back of the eyeball, sometimes abdominal pain.
- There is a sign of rash or red spots on skin
- Not accompanied by a cough or sore in the throat.
- Platelets and leukocytes down (less than 100,000)
- Hematocrit levels increasing (up 20 percent of normal).
- Bleeding the soft tissues (nose, mouth, or gums).
- There was infiltration of plasma. The more leaks can cause shock.
Added by Alan physician, determination of dengue fever or DHF can only be done on the third day through the clinical symptoms plus the investigation. “The diagnosis of DHF can enforced if it fulfills two clinical criteria and a decrease in platelets and increased hematocrit,” he explained.
