Dengue fever with Peritoneal infiltration in children

Jemy Elizabeth Joseph¹  and Shiju Mathew²

¹Department of Emergency Pediatrics, Ministry of Health, King Saud Medical Complex Hospital  P.O. Box No.  7855, Riyadh 111 117, Kingdom of Saudi Arabia. Tel.: +966-534180559

²Dept. of Biotechnology, Marthoma College of Science and Technology, Chadayamangalam P.O.

Ayur- 691534 India. Tel: 0091-9744263897; Fax: 0091-474-2475074

Email: shijumathewbiotech@gmail.com

Accepted 23 May 2012

Abstract

Dengue virus infection can cause a wide spectrum of illness and it is found less frequent in children’s but some times, the complications of the infection can take place in this category also. The cases with shock or unstable vitals signs need admission in the pediatric emergency care. The management is essentially supportive and symptomatic. The key to success is frequent monitoring and changing strategies. The virus that causes dengue fever is carried by Aedes aegypti mosquito and also by Aedes albopictus, and is transmitted to humans through their bite symptomatically it shows vomiting, fever, mild to severe head ache, chills, back ache, throat pain  and sometimes abdominal pain, the diagnosis can be interpreted with other conditions like typhoid fever or malaria. Lack of treatment in the initial phases can makes complications. The infection is transmitted through the various systems, specially gastro intestinal and vascular system and leads the complications like decreased platelets and peritoneal infiltration. Minor cases are reporting severe forms of fever like and Dengue Hemorrhagic Fever and Dengue shock syndrome. The diagnosis of dengue fever is typically not considered based on the a tropical location where the virus is present  and clinically, individuals with dengue fever may develop a low white blood cell count  from  the second day of illness. This low white blood cell count, associated with the "dengue triad" of fever, rash and headache, represent the most common diagnostic criteria for dengue fever. Classical dengue fever is a benign self-limiting disease and the only survival is by providing adequate hydration with IV fluids, Bed rest, analgesics, antipyretics, blood and platelets transfusion, and antibiotics are the management measures. Vaccines or antiviral drugs are not available for dengue viruses; the only effective way to prevent epidemic dengue fever/dengue haemorrhagic fever is to control the mosquito vector and prevent its bite.

Keywords: Dengue, Virus, Infection, Dengue Shock Syndrome,  Dengue fever, Infiltration.