Also known as 'breakbone fever', dengue is an arthropod-borne viral disease found mainly in Asia and Africa (click here for further reference). The features are the acute onset of fever, headache, retrobulbar pain, severe backache and aching of muscles and joints. Lymphadenopathy, petechiae on the soft palate and skin rashes may occur.
The diagnosis of dengue is based on clinical suspicion and also viral isolation by tissue culture in sera obtained early in the disease. Severe fatigue and depression (with suicidal risk) is a feature of convalescence. The patients are managed symptomatically and with support and reassurance.
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