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  1. Oct 9, 2023 · Dengue is a very serious public health problem that can manifest a wide range of symptoms from asymptomatic to fatal conditions, such as dengue shock syndrome (DSS). It is a life-threatening mosquito-borne viral infection widely spread in tropical areas.

  2. This disease manifestation may be suspected in DENV-infected people having a weak, rapid pulse; narrow pulse pressure (the difference in systolic and diastolic blood pressures); hypotension; cold, clammy skin; and restlessness. 2 DSS occurs in one-third of severe dengue cases and is most commonly seen in children.

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