This report is of the first locally acquired case of dengue fever. The diagnosis was made even in the absence of a history of travel outside Hong Kong. The patient was a 21-year-old man, who presented with high fever, leukopenia, thrombocytopenia, and elevated liver enzymes. His haematocrit revealed mild haemoconcentration but the albumin was normal throughout the course of the illness. His blo...

During the first countrywide outbreak of dengue hemorrhagic fever in Bangladesh, we conducted surveillance for dengue at a hospital in Dhaka. Of 176 patients, primarily adults, found positive for dengue, 60.2% had dengue fever, 39.2% dengue hemorrhagic fever, and 0.6% dengue shock syndrome. The Dengue virus 3 serotype was detected in eight patients.

Dengue hemorrhagic fever (DHF) is an acute fabrile illness caused by four serotypes of Dengue virus and characterized clinically by hemorrhagic diathesis and a tendency to develop a shock syndrome (DSS). In the earlier epidemics(l-3), hemorrhagic manifestations and shock were the main features. In the past two years, we have found that neurological manifestations were prominent in addition to s...

Dengue is an infectious mosquito-borne viral disease. Dengue or dengue-like epidemics ranks highly among new and newly emerging infectious diseases in public health significance and may affect persons of all ages in dengue endemic area. Dengue virus infections Montip Tiensuwan and Timothy O’Brien 2 may lead to dengue fever (DF), dengue haemorrhagic fever (DHF) and may lead to hypovolaemic shock...

E-mail: [email protected]; Tel.: 91-22-23693509 Dengue fever (DF) is endemic in India and causes dengue fever, its severe form dengue haemorrhagic fever (DHF) and dengue shock syndrome (DSS). Hypotension due to intravascular depletion due to capillary leak is common in DHF and DSS. However, myocardial dysfunction is also seen with DHF/ DSS and could be responsible for hypotension and ...

Dengue fever has a wide range of clinical manifestations from asymptomatic disease to complicated dengue haemorrhagic and shock syndrome. Bleeding in is well known but thrombotic events complicating uncommon. ST elevation myocardial infarction during rare poses important management dilemma. At present, there no consensus on how manage this situation. We present two patients with developing our ...

Dengue is an important viral illness which has the potential to progress into dengue hemorrhagic fever (DHF) or dengue shock syndrome (DSS). Leucopenia and throm-bocytopenia are the hallmarks of acute dengue which normalise with recovery [1]. Progression from thrombo-cytopenia to severe thrombocytosis is uncommon. We describe a patient presenting with acute dengue, who developed extreme reactiv...

PURPOSE OF REVIEW Because efforts to control dengue are flagging, this review focuses on the mechanisms underlying severe disease and on treatment options, good and bad. RECENT FINDINGS The year 2001 witnessed unprecedented global dengue epidemic activity in the American hemisphere, the Pacific islands and continental Asia. Early diagnosis of dengue is important but what is the value and appr...

The clinical and laboratory parameters of dengue in children, along with predictive markers of dengue shock syndrome (DSS), were studied in Mumbai in 2003. In 2004, there was again a resurgence of dengue in Mumbai and a prospective study of children admitted in hospital was undertaken to determine the clinical and laboratory features of dengue, with specific features in order of severity of the...

Dengue infection, one of the most devastating mosquito-borne viral diseases in humans, is now a significant problem in several tropical countries. The disease, caused by the four dengue virus serotypes, ranges from asymptomatic infection to undifferentiated fever, dengue fever (DF), and severe dengue hemorrhagic fever (DHF) with or without shock. DHF is characterized by fever, bleeding diathesi...