Dengue fever

Also known as 'breakbone' fever, it is widespread in SE Pacific and endemic in Queensland. Features

• mosquito-borne viral infection

• incubation period 5-6 days

• abrupt onset fever, malaise, headache, pain behind eyes, severe backache

• severe aching of muscles and joints

• fever subsides for about 2 days then returns

• maculopapular rubelliform rash on limbs ^ trunk

• generalised erythema with 'islands of sparing'

• the rare haemorrhagic form is very severe; may present with shock

• later severe fatigue and depression (prone to suicide)

Diagnosis specific serology

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