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Dengue hemorrhagic fever
Alternative Names: Hemorrhagic dengue; Dengue shock syndrome; Philippine hemorrhagic fever; Thai hemorrhagic fever; Singapore hemorrhagic fever Symptoms: Early symptoms of dengue hemorrhagic fever are similar to those of dengue fever, but after several days the patient becomes irritable, restless, and sweaty. These symptoms are followed by a shock-like state. Text Continues Below Bleeding may appear as pinpoint spots of blood on the skin (petechiae) and larger patches of blood under the skin (ecchymoses). Bleeding may occur from minor injuries. Shock may cause death. If the patient survives, recovery begins after a one-day crisis period. Early symptoms include the following: Fever Headache Muscle aches Joint aches Malaise Decreased appetite Vomiting Acute phase symptoms include the following: Shock-like state Sweaty (diaphoretic) Cold, clammy extremities Restlessness followed by: Worsening of earlier symptoms Petechiae Ecchymosis Generalized rash Signs and tests: Physical examination may reveal the following: Low blood pressure A weak, rapid pulse Rash Red eyes Red throat Swollen glands Enlarged liver (hepatomegaly) Tests may include the following: Hematocrit Platelet count Electrolytes Coagulation studies Liver enzymes Blood gases Tourniquet test (causes petechiae below the tourniquet) X-ray of the chest (may demonstrate pleural effusion) Serologic studies (demonstrate antibodies to Dengue viruses) Serum studies from samples taken during acute illness and convalescence (increase in titer to Dengue antigen) Page:  1 | 2 | Next >>