DENGUE 
It’s season of dengue , everyone should know about this dengue fever ( symptoms, signs , prevention & treatment and what to do or don’t do ) !! My self Dr Dheeraj kumar , SR ( medicine ) , pmch going to give each & every information of dengue for my medico & non medico friends ; CDC recommendation is attached in this post in form of pics which is very useful for doctors also !!
According to International guidelines, unless a patient’s PLATELET is below 10,000, and there is spontaneous, active bleeding, no blood transfusion is required!!..With the outbreak of dengue in the City, Hospital beds are full and families are seen running around in search of platelets for transfusion… However, what most people do not realize is that the FIRST LINE of TREATMENT for DENGUE is NOT PLATELET TRANSFUSION!!It, in fact, does more harm than good if used in a patient whose counts are over 10,000!!
Dengue fever is a painful mosquito-borne disease. It is caused by any one of four types of dengue virus, which is transmitted by the bite of an infected FEMALE AEDES AEGYPTI MOSQUITO…
COMMON SYMPTOMS of dengue include high fever, runny nose, a mild skin rash, cough, and pain behind the eyes and in the joints!!.. However, some people may develop a red and white patchy skin rash followed by loss of appetite, nausea, vomiting, etc. Patients suffering from dengue should seek medical advice, rest and drink plenty of fluids…
Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding…
The risk of complications is in less than 1% of dengue cases and, if warning signals are known to the public, all deaths from dengue can be avoided!!
For Diagnosis - DENGUE NS1-Best test is NS1,
Is +ve from day 1 to 5 ideally…
If on day 1 is -ve, repeat it next day…
Always ask for ELISA based NS1 tests as card tests are misleading…
Value of IgG & IgM dengue-
In a pt with reduced platelets and looking “sick” on day 3 or 4 of illness, a very high titre of IgG with borderline rise in IgM signifies secondary dengue!!These pts are more prone to complications…
In primary dengue IgG becomes + at end of 7 days, while IgM is + after day 4.