Dengue Fever: Causes, Symptoms, Prevention & Treatment

Introduction 

Imagine waking up with a sudden high fever, severe headaches, and body pain so intense it feels like your bones are breaking. For millions worldwide, this is a nightmare and a reality caused by dengue fever. Dengue fever is a viral infection transmitted by mosquitoes, predominantly affecting those living in tropical and subtropical regions. With the rise in global travel and climate change, dengue fever is becoming a more pressing concern. Understanding the causes, recognizing the symptoms, knowing how to prevent it, and learning about the treatment options can help manage and control this disease effectively.

What is Dengue Fever?

Dengue fever is an infectious disease affecting individuals residing in tropical regions, and it is a result of a virus found in the Aedes mosquito species, mainly Aedes aegypti. This mosquito takes the disease, becoming a vector once it feeds on an infected person’s blood. Dengue virus comprises four subtypes; once a person is infected, he or she will have lifetime immunity against one of the four subtypes, but this infection does not provide the same protection against different subtypes. This implies that with the other kinds of viruses, one can get sick with dengue fever on various occasions in his or her lifetime.

Symptoms of Dengue Fever

Recognizing dengue fever early can be crucial for effective treatment and preventing complications. The symptoms generally appear 4-10 days after being bitten by an infected mosquito. Here are the common symptoms:

  • High Fever: Dengue fever often begins with a sudden high fever that can reach up to 104°F (40°C) and usually lasts 2-7 days.
  • Severe Headache: Intense headaches, often felt in the forehead, are a common symptom. The pain can be debilitating and persistent.
  • Pain Behind the Eyes: A deep, aching pain behind the eyes is typical of dengue fever and can be uncomfortable.
  • Muscle and Joint Pains: Known as “breakbone fever,” this symptom involves severe pain in the muscles and joints. The pain can be so intense it feels like your bones are breaking.
  • Nausea and Vomiting: Many people with dengue fever experience nausea and may vomit, which can lead to dehydration.
  • Fatigue: Extreme tiredness and weakness are common, making it difficult to perform daily activities.
  • Rashes: A rash may appear a few days after the fever starts. It can be itchy and vary in appearance from person to person.

Most infections with this virus are self-limited and cause a mild disease called dengue fever that lasts for about one week but can turn into a severe form called dengue hemorrhagic fever. This severe form is characterized by bleeding, which may be severe, leakage of blood plasma, and low BP may result in dengue shock syndrome. The signs of severe dengue include but are not limited to such as vomiting for more than that specified period, bleeding from the gums, and breathing difficulties. If you or someone you know has these symptoms, please go to the hospital immediately.

Diagnosis and Testing for Dengue Fever

The diagnosis of dengue fever also entails a clinical and laboratory examination. First, the doctors scrutinize signs and symptoms and perform anamnesis. Several blood tests are used to confirm the diagnosis, such as:

  • NS1 Antigen Test: This test detects the presence of the dengue virus’s protein in the blood, usually within the first few days of fever.
  • RT-PCR Test: This test identifies the dengue virus’s genetic material and is highly specific, providing accurate results in the early stages of the illness.
  • Dengue Blood Test: Other blood tests may include checking for antibodies or assessing blood cell counts to understand the extent of the infection and the body’s response.

Early diagnosis is essential since this disease can be well controlled and the complicated condition minimized. If you think you have contracted dengue fever, you should seek medical attention immediately.

Treatment of Dengue Fever

Currently, there is no specific antiviral treatment for dengue fever. The management of the disease focuses on supportive care to ease symptoms and prevent complications:

  • Rest and Hydration: Adequate rest and fluid intake help the body recover. Drinking fluids, such as water, oral rehydration solutions, and clear soups, helps prevent dehydration, a common issue in dengue fever.
  • Pain Relievers: Acetaminophen (paracetamol) is recommended to relieve pain and reduce fever. Avoid taking aspirin and ibuprofen as they can increase the risk of bleeding, which is a significant concern in dengue fever.
  • Hospitalization: Severe cases of dengue fever may require hospitalization for intravenous fluids, close monitoring, and management of complications. Hospitals provide the necessary care to stabilize patients and prevent severe outcomes.

Recovery from Dengue Fever

Dengue fever can usually be cured, and the patient returns to normal in a few weeks. However, symptoms such as fatigue and weakness could take some time to disappear. There is the need to agree with the doctor on the best ways of handling the ailment during recovery and ensure you do not exert too much.

Prevention of Dengue Fever

The prevention of dengue fever is mainly achieved by the elimination of contact between the patient and the mosquito and the discouragement of breeding of the mosquitoes. Here are some practical measures: Here are some proper measures:

  • Eliminating Mosquito Breeding Grounds: Mosquitoes breed in stagnant water, so eliminate standing water in containers, clean drains, and ensure proper waste management to prevent breeding.
  • Using Mosquito Repellents and Nets: Apply mosquito repellent creams and sprays to exposed skin. Use mosquito nets while sleeping, especially if you live in or visit areas with high dengue incidence.
  • Wearing Long-Sleeved Clothing: Wear long-sleeved shirts and pants to reduce skin exposure to mosquitoes.
  • Installing Window Screens: Ensure windows and doors are fitted with screens to keep mosquitoes out of indoor spaces.

Some countries currently have Dengvaxia in their health facilities and endorse it for those who are nine years and above and reside in dengue-affected zones. This vaccine can guard against dengue fever brought by all four virus types, but it is not recommended for everybody; seek advice from a medical practitioner.

Community Efforts and Government Initiatives

Public health organizations and government bodies play a crucial role in preventing dengue fever through mosquito control programs and community awareness campaigns. These initiatives include:

  • Mosquito Control Programs: Regular spraying of insecticides and larvicides to reduce mosquito populations.
  • Community Awareness Campaigns: These campaigns educate the public about dengue fever, prevention measures, and the importance of seeking medical attention early.

Risk Factors and Complications

Certain groups of people are at higher risk of developing severe dengue, including:

Infants and Young Children: These groups are more susceptible to the latter because their immune systems are not as strong as those of adults.

Elderly Individuals: Aging may cause some decline in the immune system, complicating the disease.

People with Compromised Immune Systems: Of particular concern are those with compromised immune responses, including those with pre-existing medical conditions.

Severe dengue may cause DHF and DSS, which are serious complications of dengue fever. DHF includes hemorrhage, plasma loss, and reduced blood pressure, while the child palm test consists of an explosive drop in blood pressure that leads to shock, as in the case of DSS. These complications, therefore, require urgent medical intervention for them to be effectively managed.

Conclusion

Dengue fever is a severe condition. Its manifestations have significant health consequences for people in countries with numerous mosquitoes. Knowledge of the causes, awareness of the signs, and adherence to the precautions are the critical steps to controlling this disease. 

Dengue fever symptoms may appear in a person, and immediate diagnosis and proper treatment may be required for the patient to recover fully.

Get your health checkups from Trilife Hospital to avoid contracting such deadly diseases. Their medical and highly qualified staff is always ready to help you and provide needed assistance, support, and cooperation in your health.

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