Stop Dengue: Live Clean

Dato’Dr.G.SelvarajuConsultant Physician

Internal Medicine & GastroenterologyClinical specialist Geriatric Healthcare

TDMC

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2014 : DEN 2 the most virulent strain

Dengue fever –Transmitting Agent

• AEDES Mosquitoes.

• “ No Aedes mosquitoes, No Dengue”

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Dengue Fever- Symptoms& Signs

• Fever

• Headache

• Severe joints and muscle pain

• Prostration

• Lymphadenopathy

• RASH………..appears with a second temperature raise after an afebrile period

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Dengue fever –Symptoms & Signs

• Incubation 3-15 days

• Chills, headache, eye pain on movements

• Back ache

• Aches & pains….joints, muscles, body

• Fever………..40 degree centigrade

• Pink macular rash…..face……….extremities..body

• Palpable lymph nodes

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Dengue fever

• Continues for 2-4 days or more

• Profuse sweating

• Patient feels better ……..1 or 2 days ..afebrile

• Second fever …………38-39 degrees centigrade

• Maculopapular rash…extremities..whole body

• # Fever… Rash … Headache … body pain

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Dengue Haemorrhagic fever

• Fever … Rash …. Headache… Pain

• Cold clammy extremities………body warm

• Pulse down

• Respiratory …….pharyngitis, cough, dyspnoea,

• GI Symptoms … nausea,vomiting & abdominal pain

• These symptoms lasts for 2-6 days and progresses into SHOCK

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Dengue Shock Syndrome- DSS

• The most critical phase of DF and patient suddenly collapses or prostration

• The signs are – Cold clammy extremities…….body warm– Pulse low and even feeble – Cyanosis …..mouth– BLEEDING tendencies …

• purpura, petichae, or echymosis• Haematemesis• Malena• Epistaxis• Subarchnoid haemaorrhage• # injection site # IV………IM

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DSS –complications

• Hepatomegaly

• Bronchopneumonia

• Bilateral pleural effusion

• Myocarditis

• Death

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Diagnosis

• Leucopenia

• Dengue IgG/IgM

• Haemoconcentration HCT > 50%

• Thrombocytopenia – <100……….<40……………<20

– Positive Tourniquet Test

• Prolonged Prothrombin time

• LFT………..AST high

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DENGUE MONITORING CHART Date of onset of fever

DATE TEMP BP PR HCT WCC PLATELET I+O CHARTDAY OF FEVER

WARNING SIGNS

Bleeding : Red spots or patches on the skin

Bleeding from nose or gums

Vomiting blood

Black coloured stools

Heavy menstruation/vaginal bleeding

Frequent vomiting

Severe abdominal pain

Drowsiness or irritability

Pale, cold or clammy skin

Difficulty in breathing

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Dengue Prevention & Control

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DO NOT ADD TO THE STATISTICS

Up to 6th Feb 2013 : 2,836 cases and eight deaths Up to 6th Feb 2014 : 10,712 cases and 19 deaths

Remember this …………….

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