Fever, Southeast Asian hemorrhagic definition - medical term
A syndrome due to the dengue virus
that tends to affect children under 10, causing abdominal pain, hemo rrhage (bleeding)
and circulatory collapse (shock). Known also as dengue hemorrhagic fever (DHF),
it starts abruptly with high continuous fever and headache plus respiratory and
intestinal symptoms with sore throat, cough, nausea, vomiting, and abdominal pain.
Shock occurs after 2 to 6 days with sudden collapse, cool clammy extremities, weak
thready pulse, and blueness around the mouth (circumoral cyanosis). There is bleeding
with easy bruising, blood spots in the skin (petechiae), spitting up blood (hematemesis),
blood in the stool (melena), bleeding gums and nosebleeds (epistaxis). Pneumonia
and heart inflammation (myocarditis) may be present. The mortality is appreciable
ranging from 6 to 30%. Most deaths occur in children. Infants under a year of age
are especially at risk of death. It is also called Philippine or Thai hemorrhagic
fever and dengue shock syndrome.
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