Info regarding Dengue Fever

[fajoo24]

Hi guys,

I was just wondering if someone finds that there was a dengue mosquito in the room and it may have bitten him/her. What can that person do just for safety precaution. Is there any diet/food he/she should take and what should he be vigilant of?

Can someone of you advise in this regard.

Thanks

 

[hasanJ]

If u feel that u have been bitten by a dengue mosquito then take a blood test the moment u contract any sort of fever

Also avoid Anti Biotics at all costs until ur absolutely sure ur not affected by Dengue

 

[cobby]

Hi guys,

I was just wondering if someone finds that there was a dengue mosquito in the room and it may have bitten him/her. What can that person do just for safety precaution. Is there any diet/food he/she should take and what should he be vigilant of?

Can someone of you advise in this regard.

Thanks

He should go for that blood platelets test ASAP for confirmation , if he is fine no fever flu etc , then it was not dengue as per diet I heard papaya is a good cure of it

 

[lifeinabucket]

He should go for that blood platelets test ASAP for confirmation , if he is fine no fever flu etc , then it was not dengue as per diet I heard papaya is a good cure of it

Blood platelet count starts dropping late in dengue fever. By the time his blood platelet has dropped, he will probably be bleeding from nose. It's not very sensitive to check for dengue fever looking for blood platelets on the initial infection.

To the OP , look for signs like fever, muscle aches, rigors or general fatigue and weakness. Mind you, not all cases of dengue fever go into, bleeding episodes and epistaxis. Some of them just pass away mildly.

A better test if you are still very scared is to check for a drop in lymphocyte counts, which might occur much earlier than platelet count and give you the necessary warning.

 

[Rip Uzair]

Not all of the mosquitoes which can carry dengue, actually carry it. Some may have it some may not.

But yeah if you get fever, head over to hospital and get checked for dengue and basic measures for fever like sponging/paracetamol(not anything else, especially not aspirin at all!!) and you'll be monitored for a few days and treated with fluids(drip) etc as/and if necessary but basically you'll be fine. However what is most important is that you take absolute care not to get bitten again at all.
1) So that a new mosquito doesn't take it from you and give it to others and
2) Because just in case this time a different specie of dengue virus infects you(not the one that got in first) you are very much likely to get extreme kind of fever with a lot bleeding(externally as well as internally) and might require a lot of blood transfusion.

So use mosquito repellent liquid for skin/ cover it up/ use those liquids or pads that you plug into the electric socket/ coils/ spray etc. You can also use nets and keep doors/windows closed or have mesh installed on them if you want to keep them open. And lastly prevent breeding areas for mosquitos like draining stagnant water etc.

Theres not much you can do with diet. Just eat what you normally would and drink plenty of water or with ORS if needed. The doctors would advise you based on you condition.

 

[haroonshaikh]

Dengue fever is just like any other viral fever. More than 90% of all such fever's go undiagnosed and almost all people recover spontaneously. There are only a hand full of unlucky people who develop severe symptoms and eventually turn out dengue positive.
Keep in mind that only an infected mosquito can infect you and dengue test usually comes out positive after atleast 4 days of fever.. Before 4 days, its futile to perform the test.
There is no specific treatment for viral infection. all you need is to maintain good hydration and keep platelets in close check which may require frequent transfusions..

Prevention is by far the best method, use mosquito repellants for your own safety.

 

[fajoo24]

thank you guys for your helpful replies .............btw where are those nets sold that cover your bed especially if it a double bed?

 

[UmairS1]

If u feel that u have been bitten by a dengue mosquito then take a blood test the moment u contract any sort of fever

Also avoid Anti Biotics at all costs until ur absolutely sure ur not affected by Dengue

Wrong...... in a clinical setting if you came to my hospital... we would immediately start you on antibiotics.
Because bacterial meningitis in most cases presents almost identically and is 10000000X more common than dengue.

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He should go for that blood platelets test ASAP for confirmation , if he is fine no fever flu etc , then it was not dengue as per diet I heard papaya is a good cure of it

also wrong lol.

 

[UmairS1]

Very small percentage of mosquito actually carry the virus

approx 80% of people that are infected, yes actual people with the infection... don't get clinically sick and will just feel tired a week after infection for a few days.
only 5% will get the symptoms dengue is famous for

Their are only 2 tests here: 1. PCR (doesnt show anything till after virus is done incubating and your in acute phase (your truly sick from it))
2. DSAb test.. doesnt show positive till your body starts fighting it off....

both are useless for what your interested in and only serve to confirm you have the disease after you're already exhibiting the symptoms

the major risk factors are:::: Female, High BMI (your chubby or fat), your immune system is compromised (Asthmatics on medication, Elderly, Babies, people who take autoimmune disease medications, people with AIDS / HIV)

I.E. If your a chubby asthmatic female with asthma your farked... otherwise no worries.

 

[lifeinabucket]

Wrong...... in a clinical setting if you came to my hospital... we would immediately start you on antibiotics.
Because bacterial meningitis in most cases presents almost identically and is 10000000X more common than dengue.

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also wrong lol.

You'd start the patient on empirical antibiotics ? No checking for signs of bacterial meningitis?

how about a CSF analysis ? Decrease in Glucose in CSF?

I always have been against the indiscriminate use of antibiotics and in Pakistan it's a very bad curse.

Always make you resistant to the real drugs, when the actual problem strikes.

 

[A Rahim]

Apple juice with 4 drops of lemon juice, drink it 4 times a day. and eat red meat.

 

[UmairS1]

You'd start the patient on empirical antibiotics ? No checking for signs of bacterial meningitis?

how about a CSF analysis ? Decrease in Glucose in CSF?

I always have been against the indiscriminate use of antibiotics and in Pakistan it's a very bad curse.

Always make you resistant to the real drugs, when the actual problem strikes.

any signs of nuchal rigidity ALWAYS start empiric treatment for meningitis first.

beta step 2 ck kilye paro gai to pata chala ga sab kuch asal game .

 

[poakceor]

i just contracted dengue on 11 Oct 2013 late night. at first it seemed like normal fever so i thought of passing for a day or two but since both malaria and dengue affects the liver, i started feeling pain in the liver on 13 Oct 2013. Did my platelets counts, total blood test and then the doctor said it's the very early stages and i should take precautions asap. I would say if one ever feel he got fever, quickly as possible gets some extracts of papaya leaves, they taste really bad but it's really worth it as it it increases platelets count.
What Does Reduced Platelet Count Mean? | Papaya Leaves

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you can google more about the papaya leaves

 

[hasanJ]

Wrong...... in a clinical setting if you came to my hospital... we would immediately start you on antibiotics.
Because bacterial meningitis in most cases presents almost identically and is 10000000X more common than dengue.

If someone has Dengue Fever would u start him on Antibiotics?

 

[lifeinabucket]

If someone has Dengue Fever would u start him on Antibiotics?

Apparently he would

 

[lifeinabucket]

any signs of nuchal rigidity ALWAYS start empiric treatment for meningitis first.

beta step 2 ck kilye paro gai to pata chala ga sab kuch asal game .

Dude, now you change your statement and say if he has nuchal rigidity ?

That's exactly what I meant. Would you just put him on antibiotics without checking any signs or symptoms?

This was your quote.

Wrong...... in a clinical setting if you came to my hospital... we would immediately start you on antibiotics.

Now you change tunes and say if he has nuchal rigidity you would put him on antibiotics?

Heck if he has Kernig's sign with a fever, off course you would put him on antibiotics. Every sane doctor in the world would.

But immediately put on antibiotics without any signs and symptoms as you implied, because Dengue presents the same way is just plain wrong. No matter if you're studying for Step 2 , Step 1 , AMC or PLAB or whether you're just a practicing clinician.

 

[UmairS1]

Dude, now you change your statement and say if he has nuchal rigidity ?

That's exactly what I meant. Would you just put him on antibiotics without checking any signs or symptoms?

This was your quote.

Wrong...... in a clinical setting if you came to my hospital... we would immediately start you on antibiotics.

Now you change tunes and say if he has nuchal rigidity you would put him on antibiotics?

Heck if he has Kernig's sign with a fever, off course you would put him on antibiotics. Every sane doctor in the world would.

But immediately put on antibiotics without any signs and symptoms as you implied, because Dengue presents the same way is just plain wrong. No matter if you're studying for Step 2 , Step 1 , AMC or PLAB or whether you're just a practicing clinician.

Dengue most often presents with Sudden High Fever, Nausea, Headache, Vomiting (those symptoms make up roughly 80% of dengue patients that show severe clinical symptoms). THAT IS ENOUGH of the symptoms to have a suspicion of meningitis. PERIOD.


any clinical suspicion for meningitis even if 1% = give empiric antibiotics. Always.
And no its not just plain wrong its the standard of care in every major hospital in the world including Pakistan.
Signs of nuchal rigidity are NOT necessary.
WHY?!? because nuchal rigidity is present in ONLY 30% of adults with meningitis...
Kernigs/Brudzinskis positive in ONLY 5%! Don't believe me? Look it up.

Those "characteristic signs" you studied your exam for are very rarely there in the real world lol.



if your wrong and he doesnt have bacterial meningitis you pull him off as soon as the tests results come back.
The standard is to start empirical + send for tests then re-evaluate.

Bacterial Meningitis kills millions more than the few thousands dengue does.

In empiric treatment the benefit far far far outweighs any minor negatives which dont really exist here lol...
resistance? lol meningitis empirical treatment wouldn't cause resistance problems.
Waiting even a few minutes can mean irrevocable harm to the patient... and pulling him off antibiotics later in the small chance its not meningitis makes shit difference.

Anyways no more point in arguing. Pick up a clinical book on management of meningitis... and don't worry 2-3 years from now when your a doctor you'll understand.


This is not meant to be argumentative. I'm simply informing you. You are arguing against every clinical handbook/textbook and every neurologist in the world... your not arguing with me... and im done.

so if u want to continue go ahead... but its a fools errand.

Empiric treatment exists BECAUSE of the thousands of studies which proved it was most beneficial in saving patients lives overall then sitting and waiting for test results and it is the golden standard in every major hospital in the world whether it is Europe, USA or PK.

 

[UmairS1]

If someone has Dengue Fever would u start him on Antibiotics?

Thats not how it work... in the real world you dont know its dengue.

Dengue is incredibly rare and you don't know its dengue until the disease is full blown... so using tests to find out early on if u have dengue is impossible.

The treatment is only supportive for dengue their are no medications to treat it directly.

The things you hear from people: omg bleeding from everywhere... thats not how it presents in over 99.9% of cases.
It just presents with High Fever, Headache, Nausea, vomitting in the vast majority of cases.

With those symptoms you are literally millions of times more likely to have bacterial meningitis (its thousands of times more common)
Opening off with empiric (treat based on suspicion of most likely disease) while simultaneously running tests for meningitis (which take crucial hours to come back)
is the standard.
Because not only is it more likely a disease by THOUSANDS of times... but giving antibiotics for the few hours before tests come back can literally save someones life...

alternatively few hours of antibiotic treatment would not harm you.

 

[hasanJ]

Thats not how it work... in the real world you dont know its dengue.

Dengue is incredibly rare and you don't know its dengue until the disease is full blown... so using tests to find out early on if u have dengue is impossible.

Dengue is not incredibly rare in Pakistan during monsoon season

In the initial years when the disease came into prominence a lot of ppl died because of prescribed anti biotics

As for menengitis do u have any statistics that it occurs 1000x more than dengue here in Pakistan?

I ask this because I am by far the only one in my very large family and friends/acquitances that ever contracted menengitis while dengue is going around like free candies here

Sent from my HTC One X using Tapatalk 4

 

[Rip Uzair]

Although I don't know the statistics, 1000x, I think might be an exaggeration. 2-10x at best I think. I really don't see how any antibiotic would have killed anyone. Or it maybe because along with antibiotics, they would have prescribed aspirin or any other nsaid with antiplatelet/coagulant effect to exaggerate the disease. + due good chance of permanent damage/death from meningitis, empirical therapy(which doesn't really do much harm in case its not) should be good. Btw that haemorrhagic fever(with a lot of bleeding) is a real possibility because we have all 4 types of dengue here. So there is 3/4 chance the second time one gets infected, its a different specie(although in a small specific region may have more of a particular specie would reduce this probability).