Dengue fever in adults: Signs needing hospitalization

Dengue fever in adults is caused by the Dengue virus, the Aedes mosquito is the main vector of the disease. Most people with dengue fever can be treated as outpatients, but if there are signs of fatigue, lethargy, lethargy, abdominal pain or increased pain in the liver... they need to be hospitalized for a doctor's treatment. timely treatment.

Dengue fever is an infectious disease caused by the Dengue virus, which is transmitted by Aedes mosquitoes mainly through mosquito bites. The disease occurs all year round but outbreaks into epidemics in the rainy season. The disease occurs in all ages.
Fever is the first sign of the disease Then, from 4 to 7 days, symptoms such as: high fever, headache, nausea, muscle aches, rash,... The disease progresses very quickly, If not treated promptly, it can lead to dangerous complications such as:
Damage to blood vessels leading to nosebleeds, accompanied by plasma escaping from blood vessels, leading to death in the patient. Heart failure, kidney failure: It is caused by continuous bleeding that disturbs the circulatory system. Low platelets: The telltale sign is fatigue, lethargy. Pleural effusion: This is a dangerous complication that can cause death in patients.

Depending on the stage and severity of dengue fever, the symptoms of the disease vary. Specifically as follows:
Symptoms of mild dengue fever:
The patient has a sudden high fever of 39-40 degrees Celsius, it is difficult to lower the fever and lasts 4-7 days. Severe headache (forehead area, behind eyeball) Joint and muscle pain with red, rash Nausea and vomiting. Symptoms of severe hemorrhagic fever:
Abdominal pain, vomiting or possibly nausea, cold limbs, panic Appear signs of bleeding: Characterized by skin petechiae, nosebleeds, bleeding gums, vomiting blood, internal bleeding leads to black stools. Dengue shock syndrome:
This is the most severe form, symptoms include all manifestations of the mild form and symptoms of massive bleeding inside and outside the body with shock. This syndrome usually occurs during a later infection, when there is active or passive immunity to a viral antigen.

Dengue fever can be treated and monitored at home, and dengue symptoms can clear up in 7-10 days. However, the patient must be taken to a medical facility quickly when there are warning signs below:
The sick person has signs of fatigue, lethargy, lethargy Abdominal pain, increased pain sensation in the liver Enlarged liver > 2cm or elevated liver enzymes 400 U/l Vomiting more than 3 times/hour within 6 hours Mucous membrane bleeding Low urination High Hct but rapidly decreasing platelets 100,000/mm3 Home far from hospital, unable to enter When the disease worsens, the family is unable to follow up closely, and there are chronic comorbidities, hospitalization should be considered.

Management of dengue fever with warning signs :
Infusion: Need fluids if at least 1 of the signs such as lethargy, vomiting a lot, not able to drink water, abdominal pain, dehydration, elevated Hct The infusion time should not exceed 24-48 hours. Treatment of dengue shock:
Dengue shock occurs when the patient has too much extravasation and is often prescribed intravenous therapy. In case of dengue hemorrhagic shock accompanied by hemorrhagic fever, anti-shock treatment with electrolyte solutions Treatment of cerebral dengue fever:
Elevate the patient's head to 30 degrees, give oxygen tanks; Anticonvulsant for patients, treatment of hypoglycemia and correction of electrolyte - acid-base disorders; Prevent cerebral edema when the patient has clinical signs of increased intracranial pressure by intubation and mechanical ventilation. If fever, use anal antipyretic Paracetamol. In the first 3-4 days, if there is an indication for monitoring at home, the patient should:
Lie down, eat easily digestible food, drink Oresol solution, juice. Oral medicine: What medicine to take when having dengue fever? When having fever caused by dengue fever, it is necessary to reduce fever with Paracetamol, do not use Ibuprofen or Aspirin. If the patient has serious developments such as lethargy, struggling, cold limbs, abdominal pain, vomiting a lot... it should be brought to the hospital. health facilities.

Dengue fever is a disease that can cause dangerous complications, so it is necessary to prevent the disease by:
Keeping the place and living environment clean; clearing bushes; do not store water in buckets or other tools in the house Apply some measures to repel mosquitoes, spray insecticides; Use a mosquito net when sleeping to avoid mosquito bites; If there are signs of fever, you should go to a medical facility for examination and treatment. Currently is the peak period of dengue fever epidemic, which means that the epidemic is developing strongly, as soon as there are symptoms of suspected dengue infection, or warning signs of severe disease, the patient needs to go to the National General Hospital. Vinmec clinic for appropriate diagnosis and treatment, avoiding complications and unfortunate consequences. Vinmec has a team of well-trained and experienced doctors, a complete and modern medical equipment system and professional service quality for high efficiency in diagnosis and treatment. The hospital receives examination, diagnosis, treatment, cooperation against epidemics and takes care of patients with diseases caused by bacteria, parasites, infections with unknown causes. In particular, the Department of Infectious Diseases - Vinmec International General Hospital also includes the function of organizing vaccinations under the direction of the Ministry of Health, performing both for children and adults, especially serving Adults, typically vaccinated against HPV, hepatitis A, hepatitis B, shingles, Herpes, malaria, pneumonia, etc., patients can completely rest assured for examination and treatment. at the hospital.