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      • Presence of any of the following warning signs — abdominal pain or tenderness, persistent vomiting, clinical fluid accumulation, mucosal bleeding, lethargy, restlessness, liver enlargement greater than 2 cm, and an increase in haematocrit concurrent with rapid decrease in platelet count — will require strict observation and medical intervention.
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  2. Shock Hypotensive Shock Conscious level. Clear and lucid Clear and lucid Restless, combative. Capillary refill. Brisk (≤2 sec) Prolonged (>2 sec) Very prolonged, mottled skin. Extremities. Warm and pink Cool peripheries Cold, clammy . Peripheral pulse volume. Good volume Weak and thready Feeble or absent. Heart rate. Normal heart rate for age

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  3. Oct 9, 2023 · The management of dengue shock syndrome is continuously evolving and propelled by advancements in research and the pursuit of innovative treatments. Antiviral medications act directly on the dengue virus, reduce viral replication, and inhibit disease progression . Targeted antiviral therapy is becoming more likely because of ongoing clinical ...

  4. Dec 27, 2022 · 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.
  5. Circulatory collapse and multiorgan failure, called dengue shock syndrome, may develop rapidly 2 to 6 days after onset. Bleeding tendencies manifest as follows: Usually as purpura, petechiae, or ecchymoses at injection sites. Sometimes as hematemesis, melena, or epistaxis. Occasionally as subarachnoid hemorrhage

  6. Apr 10, 2015 · Prognosis in dengue haemorrhagic fever and dengue shock syndrome depends on prevention, or early recognition and treatment of shock. Once shock sets in, fatality may be as high as 12% to 44%. However, in centres with appropriate intensive supportive treatment, fatality can be less than 1%.

    • Marissa M Alejandria
    • 2009
  7. Sep 20, 2021 · Nausea, vomiting. Rash. Aches and pains (eye pain, typically behind the eyes, muscle, joint, or bone pain) Any warning sign. Symptoms of dengue typically last 2–7 days. Most people will recover after about a week. Treatment. There is no specific medicine to treat dengue. Treat the symptoms of dengue and see your healthcare provider.

  8. Table 1 Dengue case classication and levels of severity (WHO 2009 [ 2]) ALT Alanine transaminase, AST Aspartate transaminase, CNS Central nervous system, DSS Dengue shock syndrome Dengue ± warning signs Severe dengue: One or more of the following Probable dengue Warning signs Live in/travel to dengue-endemic area Fever and 2 of the following ...

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