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Report on Hemorrhagic Dengue Fever - Assignment Point
Since June , several case reports and series have been published reporting a similar multisystem inflammatory syndrome in adults MIS-A. Cases reported to CDC and published case reports and series identify MIS-A in adults, who usually require intensive care and can have fatal outcomes. Further research is needed to understand the pathogenesis and long-term effects of this condition. Clinical features in children have varied but predominantly include shock, cardiac dysfunction, abdominal pain, and elevated inflammatory markers, including C-reactive protein CRP , ferritin, D-dimer, and interleukin-6 1. Since June , several case reports have described a similar syndrome in adults; this review describes in detail nine patients reported to CDC, seven from published case reports, and summarizes the findings in 11 patients described in three case series in peer-reviewed journals 4 — 6. These 27 patients had cardiovascular, gastrointestinal, dermatologic, and neurologic symptoms without severe respiratory illness and concurrently received positive test results for SARS-CoV-2, the virus that causes COVID, by polymerase chain reaction PCR or antibody assays indicating recent infection. Reports of these patients highlight the recognition of an illness referred to here as multisystem inflammatory syndrome in adults MIS-A , the heterogeneity of clinical signs and symptoms, and the role for antibody testing in identifying similar cases among adults.
Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health
Metrics details. The increasing global prevalence of both dengue and diabetes may warrant closer observation for glycemic control and adapted fluid management to diminish the risk for a severe clinical presentation of dengue. Dengue illness is rarely known to precipitate diabetic ketoacidosis among diabetic patients.
Orthostatic dizziness, weakness, fatigue, shortness of breath, and palpitations are common symptoms of hemorrhage. Signs of hemorrhage include tachycardia, hypotension, pallor, and cold moist skin. Pressure should be applied directly to any obviously bleeding body part, and the part should be elevated. Cautery may be used to stop bleeding from visible vessels. Ligation of blood vessels, surgical removal of hemorrhaging organs, or the instillation of sclerosants is often effective in managing internal hemorrhage.