Dengue Fever - Pediatric Oncall

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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Question
Dear Doctor My 2 and 1/2 year old granddaughter is living in Rio de Janeiro, Brazil. She was recently diagnosed with Dengue fever. (Dengue fever is apparently going around Brazil currently, especially in Rio). All the correspondence from the doctors was in Portuguese, and her parents had to rely on 3rd hand information with the translation. She had high fevers for about 8 days (between 38 and 41), alternately going hot and cold, coughing, and ear-ache, and according to the X rays, spots on the lungs which one doctor said could be bronchial or pneumonia. Her symptoms were typically flu symptoms, but the fever was ongoing. She is now better, the only treatment that we gave her was Tylenol for fever, and homeopathic granules for ear/nose/throat infections. However, she did not have any noticeable rash on her body (which I have read is one of the symptoms), except for a fine (we assume) heat rash as it was very hot and humid in Rio in February. How do we know which strain of Dengue fever that she had? She had blood tests done. Would the results tell us this? She seems to be active and healthy now, but do we have to watch for any symptoms? I read that the liver could also be affected? Do we need to have any tests done to check on this? Does she need to have further blood test to show the all clear? Please advise.
Answer
Please read the article on Dengue fever on www.pediatriconcall.com or from the link given below: http://www.pediatriconcall.com/forpatients/CommonChild/infectious_diseases/ Dengue_Fever.asp Dengue fever appears as any viral fever. The most prominent aspect is severe backache. It could be caused by any of the 4 viruses. It is usually self limiting. Dengue that reoccurs again due to any other 3 viruses leads to dengue hemorrhagic fever that is more severe. Patient may have fever, bleeding tendencies, sepsis and even shock. The treatment is symptomatic that is only supportive. The diagnosis would again be by antibody titres. To determine the strain, viral culture studies are required that are done only in research institutes. Once, the child recovers, there are usually no residual problems. Back to All Questions

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