Documente Academic
Documente Profesional
Documente Cultură
DENGUE
Epidemiology
Pathophysiology
Clinical Manifestations
chills
erythematous mottling of the skin
facial flushing, which may last for 2-3 days.
a nonspecific febrile syndrome
a maculopapular rash.
Headache
Retro-orbital pain
Severe myalgias
Arthralgias
Nausea and vomiting (diarrhea is rare)
Rash: A maculopapular or macular
confluent rash
Weakness
Altered taste sensation
Anorexia
Sore throat
Mild hemorrhagic manifestations
Lymphadenopathy
Diagnosis
Imaging studies
Chest radiography
Head computed
tomography (CT) scanning
without contrast
Ultrasonography:
Differential
Diagnosis
Chikunggunya
Typhoid Fever
Chikunggunya
In Chikungunya the onset of the disease is
more acute and the duration of fever is
much shorter.
A maculopapular rash is more frequent in
Chikungunya, while petechia may occur in
dengue fever.
In Chikungunya the pain is much more
pronounced and localized to the joints and
tendons in comparison of dengue fever,
which the pain is generalized.
Symptoms
Chikunggunya
headache
rash
arthralgias
myalgia
Bleeding dyscrasia
Typhoid fever
An acute illness associated with fever
caused by the Salmonella typhi bacteria.
It can also be caused by Salmonella
paratyphi, a related bacterium that usually
caused a less severe illness
Mode of transmission
Typhoid fever is contracted by drinking or
eating the bacteria in contaminated food or
water.
People with acute illness can contaminate the
surrounding water supply through stool, which
contains a high concentration of bacteria.
Bacteria can survive for weeks in water or
dried sewage
About 3-5% of people become carriers of the
bacteria after an acute illness
Typhoid fever
fever
Headache
Generalized aches and pains
Poor appetite
lethargy
diarrhea
Treatment and
Management
www.cdc.gov/dengue/resources/DENGUE-clinician-
Group A
www.cdc.gov/dengue/resources/DENG
UE-clinician-guide_508.pdf
OUTPATIENT Managemenet
Control fever
Acetaminophen (do not give ibuprofen, aspirin,)
Prevent dehydration
Watch out for signs of dehydration
www.cdc.gov/dengue/resources/DENG
UE-clinician-guide_508.pdf
www.cdc.gov/dengue/resources/DENGUE-clinician-
www.cdc.gov/dengue/resources/DENGUE-
Group C Emergency
management
www.cdc.gov/dengue/resources/DENGUE-clinician-
www.cdc.gov/dengue/resources/DENG
UE-clinician-guide_508.pdf
Prevention
Environmental: Get rid of mosquito breeding
places
Vaccine: May be available in the near
future.
Thank you!