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Oct 9, 2023 · Abstract. 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. Dengue virus transmission occurs from an infected Aedes mosquito to humans.
1. Overview, differential diagnosis and dengue diagnostics 1.1 Overview and course of dengue illness Dengue viruses cause symptomatic infections or asymptomatic seroconversion. Symptomatic dengue infection is a systemic and dynamic disease. It has a wide clinical spectrum that includes both severe and non-severe clinical manifestations (1).
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What is dengue shock syndrome (DSS)?
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Dengue hemorrhagic fever occurs primarily in children 10 years living in areas where dengue is endemic and requires prior infection with the dengue virus.. Dengue hemorrhagic fever may initially resemble classic dengue fever, but certain findings (eg, severe abdominal pain and tenderness, persistent vomiting, hematemesis, epistaxis, melena) indicate possible progression to severe dengue.
Dec 27, 2022 · Fluid Management in Severe Dengue. Dengue shock syndrome (DSS) is the most serious manifestation of dengue hemorrhagic fever characterized by a marked increase in vascular permeability. The pulse pressure (difference between systolic and diastolic blood pressure) is an important determinant of the severity of plasma vascular leakage.
- 10.1007/s12098-022-04394-8
- 2023
- Indian J Pediatr. 2023; 90(2): 168-177.
Dengue shock syndrome (DSS) is one of the serious complications in cases of dengue haemorrhagic fever (DHF). Shock is the primary evidence in DHF, while other organs’ involvement is secondary to shock. Depending upon the host’ s resistance and possibly the viral virulence, shock syndrome, if not managed, can prove terminal (irreversible).
Dengue should be suspected if you have a sudden onset of high fever, which could reach 39–40°C (103–105°F). It is accompanied by severe headache (mostly in the forehead), pain behind the eyes, body aches and pains, skin rash and nausea or vomiting. The symptoms usually last for 5–7 days.
5 days ago · DO recognize and treat early shock. Early shock (also known as compensated or normotensive shock) is characterized by narrowing pulse pressure (systolic minus diastolic BP < 20 mmHg), increasing heart rate, and delayed capillary refill or cool extremities. DO administer colloids (such as albumin) for refractory shock.
