A
synd
rome due to the dengue virus that tends to affect
children under 10, causing abdominal pain, hemorrhage
(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 Southeast
Asian hemorrhagic fever and dengue shock syndrome.
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