Dengue Convalescent Rash in Adult Indonesian Patients
Dengue hemorrhagic fever is still a serious problem in Indonesia. Since the first cases reported in 1968, incidence rate has increased and around 37.3/100.000 populations was infected with the Dengue virus in 2012 with case fatality rate of 0.9%.
Dengue is a self-limited, systemic viral infection. Efforts to understand the disease in terms of spectrum of illness, clinical manifestation, pathogenesis, diagnosis and management were made to decrease morbidity and mortality.
Dengue virus infection involves three phases of illness; the febrile phase, the critical phase (plasma leakage) and the convalescent (reabsorption) phase.3
During the febrile phase, most patient a reported high peak of fever with frontal headache, with and without hepatomegaly or hemorrhagic manifestation. This will last around the first 3 days of illness. Following the absence of the fever, there is a higher risk of having plasma leakage or hemorrhage. Patient also more prone of become shock. On this second phase of illness, WHO developed the warning signs to guide clinician to perform immediate medical evaluation.
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