Resumo
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- fever
- skin flushing/rash
- myalgia/arthralgia/headache
- hemorrhagic signs
- lethargy/restlessness
- hepatomegaly
- abdominal distention
- pleuritic chest pain, dyspnea, cough
- signs of circulatory collapse
Другие диагностические факторы
- gastrointestinal symptoms
- upper respiratory tract symptoms
Факторы риска
- residence in/travel from dengue-endemic region within the past 2 weeks
- children ages 1 to 5 years
- older age
- pregnancy
- presence of comorbidities
- exposure to infected blood products
- living with uncovered water container
- female sex
- obesity
- blood group O
Диагностические исследования
Исследования, которые показаны в первую очередь
- CBC
- liver function tests (LFTs)
- serum albumin level
- serology
- reverse transcription-polymerase chain reaction (RT-PCR)
- nonstructural protein 1 (NS1) detection
Исследования, проведение которых нужно рассмотреть
- coagulation studies
- chest x-ray
- abdominal ultrasound
Неотложные исследования
- reverse transcription-insulated isothermal polymerase chain reaction (RT-iiPCR)
Алгоритм лечения
WHO group C (established warning signs)
WHO group B (developing warning signs)
WHO group A (no warning signs)
Составители
Авторы
S.A.M. Kularatne, MBBS, MD, MRCP (UK), FRCP (London), FCCP (SL)

Senior Professor
Chair of Medicine
Department of Medicine
Faculty of Medicine
University of Peradeniya
Peradeniya
Sri Lanka
Раскрытие информации
SAMK is an author of several references cited in this topic.
Рецензенты
John McBride, PhD, MBBS, DTM&H, FRACP, FRCPA
Professor of Medicine
James Cook University
Cairns Base Hospital Clinical School
Cairns
Australia
Раскрытие информации
JM declares that he has no competing interests.
Michael Jacobs, MA, PhD, MBBS, FRCP, DTM&H
Consultant
Infectious Diseases
Royal Free Hampstead NHS Trust
London
UK
Раскрытие информации
MJ declares that he has no competing interests.
Stephen Gluckman, MD
Professor of Medicine
Medical Director
Penn Global Medicine
Penn Center for Primary Care
PA
Раскрытие информации
SG declares that he has no competing interests.
Список литературы
Основные статьи
World Health Organization, Regional Office for South-East Asia. Comprehensive guidelines for prevention and control of dengue and dengue haemorrhagic fever - revised and expanded edition. 2011 [internet publication].Полный текст
World Health Organization, Special Programme for Research and Training in Tropical Diseases (TDR). Dengue: guidelines for diagnosis, treatment, prevention and control. New edition. 2009 [internet publication].Полный текст
Guo C, Zhou Z, Wen Z, et al. Global epidemiology of dengue outbreaks in 1990-2015: a systematic review and meta-analysis. Front Cell Infect Microbiol. 2017 Jul 12;7:317.Полный текст Аннотация
Simmons CP, Farrar JJ, Nguyen VV, et al. Dengue. N Engl J Med. 2012;366:1423-1432. Аннотация
Centers for Disease Control and Prevention. Dengue: treatment. May 2019 [internet publication].Полный текст
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Zika virus infection
- Chikungunya virus infection
- Rickettsial diseases
Больше ОтличияРекомендации
- CDC Yellow Book: health information for international travel - dengue
- Laboratory testing for Zika virus and dengue virus infections
Больше РекомендацииЛифлеты для пациента
Dengue fever
Больше Лифлеты для пациентаVideos
Venepuncture and phlebotomy: animated demonstration
Peripheral intravascular catheter: animated demonstration
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