Summary
Definición
Anamnesis y examen
Principales factores de diagnóstico
- presence of risk factors
- fever
- skin flushing/rash
- myalgia/arthralgia/headache
- haemorrhagic signs
- lethargy/restlessness
- hepatomegaly
- abdominal distension
- pleuritic chest pain, dyspnoea, cough
- signs of circulatory collapse
Otros factores de diagnóstico
- gastrointestinal symptoms
- upper respiratory tract symptoms
Factores de riesgo
- residence in/travel from dengue-endemic region within the past 2 weeks
- children aged 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
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- FBC
- liver function tests (LFTs)
- serum albumin level
- serology
- reverse transcription-polymerase chain reaction (RT-PCR)
- non-structural protein 1 (NS1) detection
Pruebas diagnósticas que deben considerarse
- coagulation studies
- chest x-ray
- abdominal ultrasound
Pruebas emergentes
- reverse transcription-insulated isothermal polymerase chain reaction (RT-iiPCR)
Algoritmo de tratamiento
WHO group C (established warning signs)
WHO group B (developing warning signs)
WHO group A (no warning signs)
Colaboradores
Autores
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
Divulgaciones
SAMK is an author of several references cited in this topic.
Revisores por pares
John McBride, PhD, MBBS, DTM&H, FRACP, FRCPA
Professor of Medicine
James Cook University
Cairns Base Hospital Clinical School
Cairns
Australia
Divulgaciones
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
Divulgaciones
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
Declarações
SG declares that he has no competing interests.
Créditos aos pareceristas
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Declarações
As afiliações e declarações dos pareceristas referem--se ao momento da revisão.
Referências
Principais artigos
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].Texto completo
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].Texto completo
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.Texto completo Resumo
Simmons CP, Farrar JJ, Nguyen VV, et al. Dengue. N Engl J Med. 2012;366:1423-1432. Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Zika virus infection
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