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Dengue Virus, Pediatric

David M. Vu, MD and A. Desiree LaBeaud, MD, MS Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Dengue virus (DENV) is an arthropod-borne virus (arbovirus) that causes a febrile illness characterized by intense headache (classically retro-orbital), rash, abdominal pain, nausea,...

DIAGNOSIS

HISTORY

  • Travel to or residence in an area known to be endemic for DENV

  • Febrile phase lasting 3 to 7 days with:

    • Headache, classically severe retro-orbital pain

    • Myalgias and arthralgias

    • Maculopapul...

TREATMENT

GENERAL MEASURES

  • Identify any dengue warning signs:

    • Abdominal pain or tenderness

    • Persistent vomiting

    • Edema

    • Mucosal bleeding

    • Lethargy or restlessness

    • Hepatomegaly

    • Hemoconcentration

  • Management is based...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Monitor for warning signs as fever subsides (usually day 4 to 5 of illness). 

PATIENT EDUCATION

Encourage mosquito avoidance. 
  • Wear clothing that covers the arms and...

ADDITIONAL READING

  • Guzman MG, Gubler DJ, Izquierdo A, et al. Dengue infection. Nat Rev Dis Primers.  2016;2:16055. [View Abstract on OvidInsights]

  • Verhagen LM, de Groot R. Dengue in children. J In...

CODES

ICD9

061 Dengue 

ICD10

  • A90 Dengue fever [classical dengue]

  • A91 Dengue hemorrhagic fever

SNOMED

  • 38362002 Dengue

  • 20927009 Dengue hemorrhagic fever

  • 722862003 Dengue without warning signs

  • 722863008 Dengue wi...

FAQ

  • Q: What can I do to prevent dengue infection?

  • A: Wear clothing that protects arms and legs, and use insect repellant.

  • Q: In what areas of the world do I have to worry about dengue infection?

  • A: Up-to...

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