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(Break Bone Fever)
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- Southeast Asia and China
- Middle East
- Countries in the Caribbean (including Puerto Rico) and Central and South America
- Locations in the Central and South Pacific
- Occasionally in Florida (Key West) and Texas (bordering Mexico)
- Severe headache
- Severe eye pain
- Chills and fever
- Muscle and or bone pain
- Red or purple spots in skin
- Minor bleeding in nose or gum
- Easy bruising
- Severe abdominal pain
- Persistent vomiting
- Uncontrolled bleeding from gums or nose
- Black tarry stool or blood in urine
- Lethargy or restlessness
- Difficulty breathing
- Pale, cold, or clammy
- Dengue virus antibodies—a sign that the body has recognized and is attempting to fight the virus
- Presence of dengue virus in the bloodstream
- Bedrest—Your body will need rest while you recover from your illness.
- Hydrate—Drink plenty of beverages throughout the day. This will help to replace fluids, sugars, and salts lost during the illness. If you are unable to drink enough, you may need to receive IV fluids.
- Acetaminophen may be recommended to treat pain and fever. Aspirin or nonsteroidal anti-inflammatory drugs (NSAIDs) are generally not recommended. Talk to your doctor about any medications you are taking.
- Spend your time in locations that are protected by insect screens or are air-conditioned.
- Cover your skin. Wear long-sleeved shirts and pants, and socks and shoes.
- Use insect repellents on your skin and your clothing. Look for repellants that contain DEET.
- Use proper mosquito netting at night. Look for netting treated with insecticide.
- Stay inside or take extra precautions in the early morning, late afternoon, and early evening. Mosquitoes are most likely to bite during these times.
- Do not leave standing water in buckets, flowers pots, or other containers. Mosquitoes breed in standing water.
Centers for Disease Control and Prevention http://www.cdc.gov
Infectious Diseases Society of America http://www.idsociety.org
Health Canada http://www.hc-sc.gc.ca
Public Health Agency of Canada http://www.phac-aspc.gc.ca
Dengue. Centers for Disease Control and Prevention (CDC) website. Available at: http://www.cdc.gov/dengue. Updated December 31, 2013. Accessed June 19, 2014.
Dengue. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated June 12, 2014. Accessed June 19, 2014.
Dengue. World Health Organization (WHO) website. Available at: http://www.who.int/topics/dengue/en. Accessed June 19, 2014.
Dengue fever. National Institute of Allergy and Infectious Diseases website. Available at: http://www.niaid.nih.gov/topics/denguefever/Pages/default.aspx. Accessed June 19, 2014.
10/1/2013 DynaMed Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Reimer LJ, Thomsen EK, et al. Insecticidal bed nets and filariasis transmission in Papua New Guinea. N Eng J Med. 2013; 369(8):745-753.
- Reviewer: David L. Horn, MD, FACP
- Review Date: 05/2014
- Update Date: 06/19/2014