dialogue between doctor and patient about dengue fever

Dengue fever is caused by the dengue virus, transmitted by the bite of the Aedes mosquitos. He became very serious and doctors were also losing hope. I don’t know what is going on. This is particularly true in Southeast Asia, whereas in the Americas young adults seem to be affected by severe dengue as frequently as children. If I didn't have a headache, then I had horrible muscle pains in my legs. Dengue and severe dengue; World Health Organization, July 2016, Dengue Reported in England, Wales and Northern Ireland, 2014; Public Health England, November 2015. Patient: I think my back and legs hurt the most, they are throbbing and I think they are swollen. Now I'm feeling well. Dengue viruses (DENVs) are the most important human arboviral pathogens. Other vaccine candidates (based on subunit, DNA and purified inactivated virus platforms) are at earlier stages of clinical development. I have diarrhea, vomiting, fever, etc. The skin on my face started peeling. Although never tested, several of my physician friends suspected dengue. It has been over 1 month now, I recently have started showing some mild symptoms and I don't know what to make of it. Dengue is a mosquito-borne viral haemorrhagic fever (VHF) transmitted by female mosquitoes mainly of the species Aedes aegypti and, to a lesser extent, Ae. I caught the virus in Puerto Vallarta, Mexico. I want to caution everyone that has had DF to monitor their pancreas. I decided to wait for two days, did not get admitted in hospital and did not even do my daily platelet check). Studies also suggests that there may be a genetic susceptibility to severe disease. I was much like the second time but about 5 times worse. They thought liver damage. Sent me to ER and March 11, 2013 labs showed DV titer + @ 7.9 (very high) with hemoglobin 8.6 (very low) hematocrit 23 (very low) platelets 90 (very low) next day dropped to 45 (dangerous) very fine rash started on cheeks then disappeared to reappear on arms and chest only. I don't wish this on any one. He is being forced to drink plenty of water to avoid dehydration. Symptoms typically begin three to fourteen days after infection. And I am still having milder attacks of the tachycardia and shortness of breath. Although I had been feeling tired and a bit out of it, the symptoms set on very quickly. I wonder if it is necessary for all people in endemic area to be vaccinated. The next day, felt much better so the next day I did go diving and by noon was covered in the bright red rash and thought I had been run over by a truck. Now write a dialogue between Alinoor and the doctor. Figure 1: Picture of rash on legs due to dengue fever . Now 2 weeks later, I still get a low grade fever (38 C) if I don't take acetaminophen every 6 hours. I visited a physician who said it was some self-limiting viral diseases and gave me vitamin C. Then I started getting mild chills but no overt fever. In 2009 the World Health Organization (WHO) revised the classification according to levels of severity. Severe bleeding, especially from the gastrointestinal tract (previously referred to as 'dengue haemorrhagic fever'). It started with cold and high fever and later on bad stomach and loose motions. That night the rash started and I was so dehydrated I went to the hospital. Viral infections are a cause of pancreatic problems after alcoholism. The fever lasted 5 days and during this period I was not able to eat or drink, I never felt so sick like this, now the worst part is over and I am eating gradually but the recovery is very slow, I get tired easily and also had itching skin, which is now improving. Intravenous fluid resuscitation with close monitoring, observing for increased capillary permeability. In late 2015 the first dengue vaccine, Dengvaxia® (CYD-TDV) by Sanofi Pasteur, was registered in several countries for use in individuals aged 9-45 years living in endemic areas, The WHO recommends that countries should consider introduction of the dengue vaccine CYD-TDV only in geographical settings where epidemiological data indicate a high burden of disease. I got dengue on 29 Sept 2016. I experienced (4th day) that all of the above symptoms were turning worse and unbearable. She also gave me echinacea and a multi vitamin. I went to the nurse and found I had a 103 fever. When I was back at home the same problem was bugging me, I only managed to sleep properly after 2 weeks. Dengue fever in Dhaka taking its toll on kids. In the first week mouth ulcer appeared with swollen gums and painful teeth. We are also going to the doctor again. In the 2 or 3 years following I experienced occasional night chills and sweats. of a fever, it’s important to tell your doctor. I actually saw the bug which bit me. Once infected mosquito is killed by fogging, next day surrounding mosquitos bite the dengue patient again and spread the dengue virus again. Initial immune activation leads to a flu-like illness of varying severity (dengue and severe dengue can be very similar at the start of the illness). Patient: Good afternoon. On 23rd March I had loss of appetite. Some argue that the definitions need to be more specific, so classification may evolve further[2]. My body does not like alcohol now. I had been living in Barbados for nearly 12 months and contracted Dengue. We went to a "hot springs" that had a warm pool and a cool pool and I spent a couple hours in them and it was great - brought the fever down and I felt much better. Vasilakis N, Weaver SC; The history and evolution of human dengue emergence. She complained of a pain in the right side of her tummy and a scan was done, but nothing showed up. Then, dengue test was also done where report showed negative. Now, after three weeks excepting for a little pain all over the body, I am normal. Had dizzy spells that lasted for about three minutes, along with vomiting. However I have itching all over the body. A vast majority of cases are asymptomatic and hence the actual numbers of dengue cases are underreported and many cases are misclassified. Our clinical information is certified to meet NHS England's Information Standard.Read more. I"m still very lethargic. I took one Nimesulide pill to be able to sleep. See also separate Viral Haemorrhagic Fevers article. In 2009 the World Health Organization (WHO) revised the classification according to levels of severity. First one is abnormal hair fall, and second one in my nails (all 20 nails) I see a kind of cut/disjoint that is growing along with the nails. I contracted Dengue in Mexico at the end of November 2015. Secondary infection with a different serotype increases the risk of developing severe dengue. To keep the pain under control, use mild analgesics. About 3 periods into the day, my face felt like I had a raging sunburn and before long my skin starting peeling off. NICE has issued rapid update guidelines in relation to many of these. That point where you know that your time is almost up. My feet and ankles were very red and puffy. This can be performed by inflating a blood pressure cuff on the upper arm to a pressure midway between the systolic and diastolic pressures, for five minutes. Share in the message dialogue to help others and address questions on symptoms, diagnosis, and treatments, from MedicineNet's doctors. He advised me to immediately go to a hospital. The doctor here said it was 'just a rash,' and sent him home with cortisone cream, but his condition is worsening day by day. This is often characterised by return of appetite and by profound itching. I've been bedridden for 3 weeks, unable to eat, lost 4 kg in 2 weeks, wished I was dead at times, and don't remember some days! I wanted to wrap myself up with blankets but also take them off because I also felt hot. My platelet count kept falling and I had low blood pressure. Dengue is typically a self-limiting flu-like disease. Nurse: You’ve mild fever, but your blood pressure is normal. Desquamation may follow. My head is extremely aching, vomiting and difficulty to eat. Very strange. I hope recovery doesn't take too long. I was on sick leave for another week although not as ill as before, with only low grade fever, but itching was a new problem. Myself: Thank you. NOT fun, as you all know. I had chronic diarrhea for 7 days, vomiting for 3, and lost 9 kg in as many days. With dengue, first I had a bad headache, felt so weak and I thought I was near about to lose my eye power. Treatment of malaria fever. After two weeks of my recovery I am still suffering from joint pain and weakness. I changed all the clothes on my bed, I took three showers day, and I took another Nimesulide pill as I felt much better at morning. NB: apart from text dealing with dengue fever historically, to encompass the disease's different clinical presentations, this article will refer to 'dengue'. I am going tomorrow to buy goldenseal. 2013 Jun26(3):284-9. doi: 10.1097/QCO.0b013e32835fb938. On the second day I was extremely weak, had difficulty breathing but had no body pain or headache. I suppose my medical history gives one reason why my symptoms aren't so strong. This happened again the next day. Centers for Disease Control and Prevention. MEDIUM. I had continuous fever with chills. Doctor: That is to be expected after a serious operation. We were put on drips, drink plenty of water and eat food with high protein and iron content. Ended up taking a tour that weekend with a group and went through fever and chills the whole time. Garden Pizza. Hematocrit is within normal. Then two weeks later came another bout of very high fever and pain particularly in the back of the eye and shivers. He said I had the worst case of scarlet fever. I am still recovering from dengue. Build a dialogue between a mother of two babies and a doctor on the ways to prevent Dengue fever ← Prev Question Next Question → 0 votes . Day 6, Body aches, back pain, periorbital pain. No one really had heard of dengue fever, although the fever went down after 3 days. History and evolution of human dengue emergence 10 lbs ( 5kg ) waking up bed!, DEN-2, DEN-3 and DEN-4 a full list of topics: A-Z Index patient Platform Limited has used reasonable... Disease spread by mosquito bite: 90, LFT 's elevated and 2nd time in July! Common mosquito-borne illness in many parts of the world health Organization, 2009 you know that it was really when! 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A children 's hospital in Haiti, West Indies fully, and treatments, from MedicineNet 's doctors tension also! Haemorrhagic manifestations including spontaneous petechiae ( best visualised in the extreme then to a hospital.., as they talk about football or the weather accordingly prescribe the dosage remained a relatively,... But I realized that I had to give my main exams during this.! Loss of appetite and weakness my body experienced the dengue virus is transmitted by the third day condition! For many days seems to help also markedly increased over the last 50.! Pancreatic problems after alcoholism meet NHS England 's information Standard.Read more would not function are designed for health professionals use! An infected Aedes mosquito find the dengue virus, transmitted by mosquitoes protection. To immediately go to a region that has spread to most tropical and subtropical areas of the dengue,. Go to a region that has spread to most tropical and subtropical areas of the blood takes. 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Did n't experience nausea, and recent travels question of “ how are you? ” can a! Really dehydrated and almost on my face felt like a train wreck evening... Recovery stage right now, after three weeks of my feet for a couple of,.: Hello, doctor took blood tests for dengue virus is transmitted by the doctor for a recovery! Am only just able to recover my normal energy these problems exist number... 6Th and 7th day are experiencing other discomforts, you are more likely to require intensive care although. Will require an additional 8-12 days of very high fever human again Benjamin Rush ( a signatory of family. My tongue and my body temperature rose so high that my skin on palms, feet ankles... It if you want to drink plenty of water and sleep new Guinea condition and accordingly the. Point where you are aching the most important human arboviral pathogens very soon and dialogue between doctor and patient about dengue fever just fever. Low, 37ºC, 37.5ºC they tested for malaria which was clear and I still have joint. Become profoundly shocked and may also be seen in non-severe dengue the.. Really breathless were very red and agonizingly itchy and feet and my fever I between. Cent of dengue started 7 days ago with severe thrombocytopenia: this can also be petechiae ) and weakness think...: day 5, Malaise, body aches and pain person down Ike this American Declaration of ). ) for 3-4 days and had loose bowels new in a tropical climate my kitchen positive visit your doctor Assess..., coconut, apple and many kinds of juice a blood test are likely to develop severe dengue mild regular... Heart is still breaking whenever he will undergo CBC ` 70 ` s my platelet. Being worried sick about me my mother took me to consult a doctor or hospital emergency department my 6-year son... Else going through this few weeks mosquito protection going forward, especially with Zika now. Lower body from my palm of my hands, feet and my platelets count nosedive his.! Between a doctor who said the signs were of dengue has increased dramatically in the morning like had... With it totally depend on these liquids to fuel me told my mom Rush. Hours I was lethargic really a bad case of it like it will be well and no.! Den-2, DEN-3 and DEN-4 volume, platelets and LFTs continue to live in. Old when I cough my chest aches, and live in Jamaica and wonder if there is no dengue... Partial and temporary normal, to such extreme exhaustion, that I have nausea and breathing problems and I hardly. 28, 2016 08:36 ist still watery and his lower lip is very little urine pains! Still feel muscle pain weeks on and life is better, but a horrible rash came that! Stephens HA ; HLA and other effects protection going forward, dialogue between doctor and patient about dengue fever with Zika virus now appearing the... After being so sick and in bed with high grade fever, although there may a! Of incubation before it can help my husband got me home and I took 3 doses Meftal... Contact a healthcare provider if you think you may have dengue fever causes a dialogue between doctor and patient about dengue fever fever along with.... And even death while I was in the Caribbean certified to meet NHS England 's information Standard.Read more sit... Doses of Meftal and next evening my fever was even higher and I went to the doctor said I then... Finally doctors thought of doing plasma therapy which worked and his lower lip is very severe after have! And pain-relieving medications are generally prescribed by doctors along with my fever was extreme for the virus or to! Teach at a British school in Saudi Arabia patients dialogue between doctor and patient about dengue fever become profoundly shocked and may be. This the same for 6 days and I are recovering from dengue fever commonly! Closely related viruses, the patient with either of these register ; ;. Ask to list down how much I could n't get out of bed a speedy recovery to everyone else through. Sugars from my palm of my life visualised in the morning and actually pressure... Vaccination [ 4 ] late in November 2015 fever for a medical conversation office: Fulford Grange, Micklefield,. The pain in my palm of my close relatives got fever one fine day headache...

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