Dengue Fever

 Dengue Virus

Definition: Dengue is a mosquito bone infection which is caused by dengue virus.

Dengue Fever Definition: Dengue fever is a mosquito-borne viral infection caused by the dengue virus, primarily transmitted to humans through the bite of infected female Aedes mosquitoes, particularly Aedes aegypti. Dengue fever is characterized by a sudden onset of high fever, severe joint and muscle pain, rash, headache, and bleeding tendencies, and it can range from a mild illness to a severe, life-threatening condition known as severe dengue or dengue hemorrhagic fever.

Classification: There are two types

1. Hemorrhagic Dengue: It is a much more severe disease than classical dengue fever, with a fatality rate that approaches 10%.

2. Classical Dengue: There are four types

·       Dengue-1       

·       Dengue-2

·       Dengue-3 and

·       Dengue-4

Incubation Period: 2-7 days.

Important Characteristics of the dengue virus :

·       RNA to Virus

·       Enveloped to Virus

·       4 serological type Den-1, Den-2, Den-3, Den-4

· Humans are the reservoir

·       Cytoplasmic replication

·       Female Aedes aegypti mosquito sink bite transmits the disease

Dengue Fever


Mode of Transmission: Female Aedes aegypti mosquito transmits the disease.

Laboratory findings :

1. Hypoproteinaemia

2. Thrombocytopenia

3. Increased bleeding time

4. Increased prothrombin time

Aedes Mosquito:

Lab diagnosis of dengue virus :

Principle: Dengue fever is practically diagnosed by serological tests for antigens and antibodies. a routine blood test is helpful. NA-based techniques are used in special cases,

Specimen Collection: Blood

Isolation or Culture: By blood culture

·       Acute phase protein

·       The Plasma

Serological Test :

·       Antibody detection

* ELISA

* ICT

* Western blot

* CFT

* RIA

* Ig M, Ig G Dengue Device

·       Antigen detection

* NS1

* Fluorescence microscope in tissue

* EIA in blood and plasma

Biochemical Test: Not needed.

Routine blood test :

·       Platelet count-thrombocytopenia

·       Hematocrit -Increased

·       Prothrombin time-increased

·       Hb% - Normal

·       ESR- Normal

·       PBF-Thrombocytopenia with anemia normocytic normochromic.

Virological test: PCR (Polymerase chain reaction).

Prevention of Dengue Fever:

1. Vector Control:

Eliminate Breeding Sites: Encourage community efforts to remove stagnant water containers, as these serve as breeding sites for Aedes mosquitoes.

Insecticides: Use approved insecticides to treat potential breeding areas and indoor spaces.

 Mosquito Nets and Screens: Encourage the use of bed nets and window screens to reduce mosquito exposure.

2. Personal Protection: Use Mosquito Repellents: Apply insect repellents containing DEET, picaridin, or other approved ingredients to the exposed skin.

Wear Protective Clothing: Long-sleeved clothing and pants can help prevent mosquito bites.

 Avoid Peak Mosquito Activity: Aedes mosquitoes are most active during dawn and dusk, so minimize outdoor activities during these times.

3. Public Awareness: Conduct public education campaigns to raise awareness about dengue prevention, symptoms, and the importance of seeking medical care.



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