DENGUE 2025

Which of these is not a sign of the recovery phase?

• General well-being improves

• Classical rash of “isles of Red in the sea of whites” with generalised pruritus

• Hematocrit level stabilises​

• recovery of WCC followed by recovery of platelet count

All of these are signs of compensated shock EXCEPT?

• Normal or elevated systolic pressure

• Narrow pulse pressure – weak pulse​ Tachycardia

• Cool/cold and pale extremities

• Reduce conscious level

All of these are signs of decompensated shock EXCEPT?

• Increasing tachycardia

• Feeble or absent peripheral pulse

• Oliguria or anuria

• Respiratory acidosis

The following is NOT a part of dengue charting

• Blood pressure

• DXT trend

• Input and output fluid

• Heart Rate

An obese 43 year old man presents to the emergency department with history of fever for 4 days. He's lethargic and tachypniec and is triaged to the Red Zone. High flow mask oxygen is administerd immediately and an IV cannula is inserted. His BP is 110/70mmHg,  HR 110/min, RR 26/min and SpO2 is 100% on HFM. Blood is drawn for testing and IV 0.9% saline 10ml/kg/hr is administered as patient has cool peripheries with a moderate volume pulse. A bedside ECHO done for the patient shows moderate cardiac contractility. A bedside dengue combo test shows a positive NS1. What would you do next:

• Reduce rate of fluid administration immediately

• Assess fluid status from ECHO

• Assess fluid status with IVC scan

• Change IV fluids to colloid

The following are possible differential diagnosis for a presentation of thrombocytopenia with fever EXCEPT:

• Malaria

• Dengue fever

• Sepsis

• Influenza

A young man admitted to ICU with complaints of fever for one week, rashes, abdominal pain and blackish stool. BP was 100/70. Which laboratory investigations should be tested:

• NS1 antigen

• Dengue PCR

• Dengue IgM ELISA

• Viral culture

These are the disease MONITORING tests for SEVERE DENGUE, EXCEPT :

• White blood count

• Platelet count

• Dengue IgM

• Ferritin level

Positive result indicates acute dengue infection, EXCEPT:

• Dengue PCR

• Dengue IgG antibody

• Dengue NS1 antigen

• Dengue Viral culture

A 7-year-old child with confirmed dengue has been febrile for 3 days. He is active, drinking well, has no vomiting or bleeding. What is the best management plan?

• Immediate hospital admission

• Home care with fluid monitoring and follow-up

• Syrup ibuprofen 10mg/kg 12hourly

• Start IV fluids