This is an automatically translated article.
Dengue fever is a common disease in the rainy season, this is a favorable opportunity for mosquitoes to multiply and develop. The disease can lead to death, but it is easy to mistake it for the common cold if the symptoms of dengue fever do not appear on the skin. So why is there a case of dengue fever without a rash?
1. Recognizing Dengue Fever Symptoms
Dengue fever is caused by the dengue virus. Dengue virus is transmitted from person to person through the transmission of the disease is a female mosquito - belonging to the genus Aedes.
The Aedes aegypti mosquito is the main vector of disease transmission in most of the endemic areas. Mosquitoes are usually active during the day and only female mosquitoes bite and transmit the virus.
Most dengue infections will experience symptoms such as: sudden high fever, muscle aches, joint pain, red rash, often lethargy for several days in a row... it can even lead to shock, hypotension, collapse, internal bleeding.
In most cases of dengue fever patients, the main warning sign is a skin rash, but there are still cases of dengue fever without a rash that many people mistake it for a common viral flu, causing psychological distress. subjective, negligent.
Virus Dengue là thủ phậm gây ra bệnh sốt xuất huyết
2. Degrees of Dengue fever
Dengue fever occurs very complicated, especially need to pay attention to complications of shock because it can lead to death. The disease is divided into 4 levels to facilitate the monitoring and evaluation of the patient's prognosis.
Level 1: the patient has dengue fever but only fever, no rash. Level 2: the patient has a fever and is accompanied by bleeding symptoms (purpura spots under the skin, nosebleeds, bleeding gums, coughing up blood, vomiting blood, blood in urine, prolonged menstruation). Level 3: the patient has signs of shock Level 4: the patient is in severe shock.
Nôn ra máu là triệu chứng xuất hiện ở cấp độ 2 của bệnh
3. Dengue fever without rash should not be subjective
Dengue rash is not a mandatory symptom. A patient can be diagnosed with dengue without necessarily having a rash.
Dengue fever without a rash or with a rash can progress to shock - the most serious complication of dengue. Accordingly, the dangerous period in dengue fever is the 4th to 7th day, but it is not due to the rash, the danger is due to the state of thrombocytopenia, hemoconcentration, causing coagulation disorders, leading to the danger of death. Bleeding in many places. This is a relatively dangerous time, it is necessary to take the patient to the nearest medical facility for timely care, to avoid bad complications.
The majority of dengue fever deaths are due to severe shock, this is a syndrome with a drop in body temperature (body temperature drops below normal - if the body temperature drops and the effect of antipyretic drugs is added to it). very dangerous), decreased consciousness, poor mental alertness, lethargy, lethargy, delirium, low blood pressure...
Người bệnh có thể phát ban hoặc không phát ban khi bị sốt xuất huyết
4. Caring for dengue fever patients without rash
Care of patients with dengue without rash as follows:
Dengue grade 1 - dengue without rash : after confirmed diagnosis can be treated as outpatient at home according to the doctor's prescription, Patients and family members need to follow the doctor's appointment schedule. Dengue fever gradually turns to grade 2: can still be treated at home under close monitoring or hospitalized if necessary. The temperature should be monitored regularly by taking a thermometer in the armpit or anus or in the corner of the mouth every few hours. In addition, the patient needs to rest absolutely, do not do heavy exercise and avoid using too thick clothes, avoid wearing too many clothes or incubating too tightly. If the temperature is above 38.5 degrees Celsius, you can take a single paracetamol-type antipyretic, add 1 dose every 6 hours if you still have a high fever, check your body temperature 1 hour after taking the antipyretic.
In case the body temperature is higher than 37 degrees but still below 38.5 degrees, you can take fever-reducing medicine, just wipe it off with a towel dipped in warm water (the temperature of the wipe is 2-3 degrees lower than the body temperature).
Absolutely do not use Aspirin to reduce fever because Aspirin will disrupt blood clotting, causing prolonged bleeding which is very dangerous, especially for children. Therefore, in the treatment of fever reduction should not use drugs such as Aspirin, Ibuprofen.
When a high fever persists (above 39 degrees), the patient will drink a lot of water to compensate for the loss of water due to fever. The water from the oresol package is better or you can drink roasted rice water, salt water (2 teaspoons salt, 8 teaspoons sugar mixed in 1 liter of boiled, cooled water), orange juice, fresh lemon with vitamins C .
Note, if the patient shows symptoms of vomiting, pale mouth, lazy to eat, it will lead to insufficient food intake, easy to cause hypoglycemia. It is necessary to ensure that the patient eats enough nutrients along with easily digestible foods, eats many meals, and avoids fatty foods. Milk can be used to provide nutrients to the patient.
Dengue fever without a rash can make patients subjective and confused with common colds and fevers. Therefore, to be more sure as well as to ensure safety, when symptoms or suspicion of dengue fever appear, patients need to go to medical centers for examination and diagnostic tests. A rash without or with a rash can progress to shock, which can be life-threatening.
Người bệnh có thể uống paracetamol để hạ sốt
Vinmec International General Hospital is one of the prestigious dengue fever treatment facilities with a team of experienced and highly qualified medical professionals. A system of modern and advanced medical equipment, possessing many of the best machines in the world, helps to detect many difficult and dangerous diseases in a short time, supporting the diagnosis and treatment of effective doctors. most fruitful. The hospital space is designed according to 5-star hotel standards, giving patients comfort, friendliness and peace of mind.
If you have a need to examine and treat dengue fever at Vinmec, please book an appointment directly at the website or contact the hotline for service.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
