Rash is characteristically bright red petechia and appears first on the lower limbs and the chest
There may be gastritis with associated abdominal pain, nausea, vomiting or diarrhea.
-DHF-
DHF can manifest as bleeding tendencies, thrombocytopenia. Thrombocytopenia is a condition in which platelet counts are low. Platelets play an important role in blood clotting.As clotting gets impaired,bleeding occurs through various body tissues/organs. Platelet transfusion (Platelet concentrate or fresh blood) may need rarely in situations when count falls below 20,ooo without bleeding or below 50,000 with bleeding
DHF can lead to dengue shock syndrome
Management
Main management is supportive one. Antipyretics are useful.
Monitor platelet counts by peripheral blood smear. Watch for bleeding occurring from gums, wounds, fundus of eye, etc.
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