Incubation 3-7 days
Febrile phase:
High fever + 'Breakbone' + GI symptoms + rash + possible exposure
+/- Faget sign
Lasts 3-7 days, majority recover
Critical Phase:
Minority of patients, generally pediatric and elderly
Around time of defervescence
Vascular leak, hypoproteinemia, hemoconcentration, pleural effusion, ascites
Narrowed pulse pressure, persistent vomiting, RUQ tenderness, lethargy and restlessness are signs of impending collapse
Mucosal and skin bleeding
"Severe<unk> ," any of the following:
Shock from plasma leakage
Hemorrhage
Respiratory distress
High fever + 'Breakbone' + GI symptoms + rash + possible exposure
+/- Faget sign
Lasts 3-7 days, majority recover
Minority of patients, generally pediatric and elderly
Around time of defervescence
Vascular leak, hypoproteinemia, hemoconcentration, pleural effusion, ascites
Narrowed pulse pressure, persistent vomiting, RUQ tenderness, lethargy and restlessness are signs of impending collapse
Mucosal and skin bleeding
Shock from plasma leakage
Hemorrhage
Respiratory distress
Dengue
Normal causes of acute fever!
Chikungunya
Malaria
Yellow fever
Leptospirosis
Typhoid fever
Rift valley fever