Dengue Fever Symptoms and What To Do If You Think You Have Dengue Fever

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Dengue Fever Reported in Key West, FL

The Centers For Disease Control (CDC) and Prevention reported Tuesday that more than 1000 people in Key West, Florida had been exposed to Dengue Fever. No infections had been reported since 1934. Dengue Fever is common outside the US, up to one million cases are reported annually. In a statement The CDC’s, Dr. Harold Margolis, expressed concern that if dengue proliferates in Key West, it could spread to other cities where the mosquito that carries the disease is common.  Tourists are being cautioned to take measures against mosquito bite. If bitten by a carrier mosquito in The Keys, there is a chance a second bite after returning home could spread the disease through local mosquitoes.  The Monroe County Health Department medical director, says risk is minimal, the use of a insect repellant containing DEET is recommended.  Dengue has emerged as a worldwide problem only since the 1950s. Although dengue rarely occurs in the continental United States, it is endemic in Puerto Rico, and in many popular tourist destinations in Latin America and Southeast Asia; periodic outbreaks occur in Samoa and Guam.

Dengue hemorrhagic fever (DHF) is characterized by a fever that lasts from 2 to 7 days, with general signs and symptoms consistent with dengue fever. When the fever declines, warning signs may develop. This marks the beginning of a 24 to 48 hour period when the smallest blood vessels (capillaries) become excessively permeable (“leaky”), allowing the fluid component to escape from the blood vessels into the peritoneum (causing ascites) and pleural cavity (leading to pleural effusions). This may lead to failure of the circulatory system and shock, and possibly death without prompt, appropriate treatment. In addition, the patient with DHF has a low platelet count and hemorrhagic manifestations, tendency to bruise easily or have other types of skin hemorrhages, bleeding nose or gums, and possibly internal bleeding.

Dengue Fever Symptoms and What To Do If You Think You Have Dengue

  • High fever and at least two of the following:
  • Severe headache
  • Severe eye pain (behind eyes)
  • Joint pain
  • Muscle and/or bone pain
  • Rash
  • Mild bleeding manifestation (e.g., nose or gum bleed, petechiae, or easy bruising)
  • Low white cell count

Generally, younger children and those with their first dengue infection have a milder illness than older children and adults.

Watch for warning signs as temperature declines 3 to 7 days after symptoms began.

Go IMMEDIATELY to an emergency room or the closest health care provider if any of the following warning signs appear:

  • Severe abdominal pain or persistent vomiting
  • Red spots or patches on the skin
  • Bleeding from nose or gums
  • Vomiting blood
  • Black, tarry stools (feces, excrement)
  • Drowsiness or irritability
  • Pale, cold, or clammy skin
  • Difficulty breathing

Treatment of Dengue Fever
There is no specific medication for treatment of a dengue infection. Persons who think they have dengue should use analgesics (pain relievers) with acetaminophen and avoid those containing ibuprofen, Naproxen, aspirin or aspirin containing drugs. They should also rest, drink plenty of fluids to prevent dehydration, avoid mosquito bites while febrile and consult a physician.

As with dengue, there is no specific medication for DHF. If a clinical diagnosis is made early, a health care provider can effectively treat DHF using fluid replacement therapy. Adequately management of DHF generally requires hospitalization.

For Additional Information on Dengue Visit http://www.cdc.gov/dengue/

Consult a medical professional for addiitonal information or if you believe you're infected.

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