Please note: An erratum has been published for this article. To view the erratum, please click here. Dengue is a mosquito-transmitted, acute viral disease caused by any of the four dengue virus serotypes (DEN-1, DEN-2, DEN-3, and DEN-4).Dengue is endemic in most tropical and subtropical areas of the world and has occurred in U.S. residents returning from travel to such areas (1--3).CDC maintains a laboratory-based passive surveillance system for travel-associated dengue among U.S. residents*.revious dengue infection increases the risk for DHF in a patient with subsequent dengue infection. Dengue shock syndrome is DHF with signs of circulatory failure, including narrow pulse pressure (. 20 mm Hg), hypotension, or shock, and can result in a case-fatality rate of approximately 10% (8).
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