Last reviewed: 23 Jun 2024
Last updated: 25 Jul 2023
Summary
Definition
History and exam
Key diagnostic factors
- 存在的危险因素
- 发热
- 皮肤潮红/皮疹
- 肌痛/关节痛/头痛
- 出血迹象
- 昏睡/躁动
- 肝肿大
- 腹胀
- 胸膜炎性胸痛，呼吸困难，咳嗽
- 循环衰竭迹象
Full details
Other diagnostic factors
- 胃肠道症状
- 上呼吸道症状
Full details
Risk factors
- 居住于或在过去 2 周内曾前往登革热疫区旅行
- 1到5岁儿童
- 老年
- 妊娠
- 合并症的发生
- 暴露于受感染的血液制品
- 生活中使用无盖水容器
- 女性
- 肥胖
- O 型血
Full details
Diagnostic tests
1st tests to order
- 全血细胞计数 (FBC）
- 肝功能检查 (LFTs)
- 血清白蛋白水平
- 血清学
- 逆转录-聚合酶链反应（RT-PCR）
- 非结构蛋白1检测（NS1）
Full details
Tests to consider
- 凝血功能检查
- 胸部 X 线检查
- 腹部超声
Full details
Emerging tests
- 逆转录-绝缘等温聚合酶链反应 (RT-iiPCR)
Treatment algorithm
ACUTE
WHO C组（确定警示征象）
WHO B组（出现警示征象）
WHO A组（无警示征象）
Contributors
Authors
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
Disclosures
SAMK is an author of several references cited in this topic.
Peer reviewers
John McBride, PhD, MBBS, DTM&H, FRACP, FRCPA
Professor of Medicine
James Cook University
Cairns Base Hospital Clinical School
Cairns
Australia
Disclosures
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
Disclosures
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
Disclosures
SG declares that he has no competing interests.
Differentials
- 寨卡病毒感染
- 基孔肯雅病毒感染
- 立克次体病
More DifferentialsGuidelines
- CDC 黄皮书：国际旅行健康信息——登革热
- 寨卡病毒和登革热病毒感染的实验室检测
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