Dengue Hemorrhagic Fever / Dengue Shock Syndrome

Initial stages of the disease resembles symptoms of dengue fever. However fever subsidies after 2 to 7 days followed by signs and symptoms of

Restlessness

Signs of circulatory failure

Bleeding or hemorrhagic manifestations including:


  • Skin bleeds that appear as blotchy red patches called - Petechiae



  • Bleeding from Nose or Epistaxis



  • Bleeding from gums



  • Bleeding from Stomach - appearing as blood in the vomit



  • Decrease in the blood platelet count (Thrombocytopenia)



    • Leakage of plasma from vascular compartment leading to increased blood concentration and manifestations of shock.

    These symptoms when not treated may lead to Dengue Shock Syndrome, which when not treated immediately may lead to profound shock and eventually death.

    Warning signs of Dengue Shock Syndrome are

    Severe abdominal pain,

    Vomiting,

    Change in temperature,

    Mental irritability.

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