Dengue fever infection is common in many parts of the world and may result in serious complications such as dengue haemorrhagic fever, dengue shock syndrome, pleural effusion, pericardial effusion and multi-organ failure if not diagnosed early or treated adequately. This is more so in the so called susceptible group that includes children, pregnant mother, elderly patients, patients with heart, liver or kidney co-morbidity, obese patients as well as immunocompromised patient such as those with transplanted organs or human immune-deficiency infection. However in certain cases, severe dengue fever may mimic the presentation of septic shock which needs urgent and decisive management actions to be taken. This case report will look at a 7-year-old child who survived despite developing septic shock which was thought to be initially dengue fever with warning signs. Early referral and aggressive treatment in hospital prevented a direr consequence for this child.
Dengue fever

In 2 epidemics of Dengue haemorrhagic fever in Bien Hoa, the predominant serotypes of dengue virus in the year 2000 and 2003 were Dengue-4 and Dengue-1, respectively. The number of clinical cases of children under 15 years old diagnosed as viral infection and unknown fever (n=1653), were higher than those diagnosed as Dengue fever/Dengue haemorrhagic fever (DF/DHF) (n=1122). The number of Dengue virus isolated from patients with viral infection and unknown fever (n=102) was higher than those isolated from DF/DHF cases (n=85). The number of Dengue positive MAC-ELISA cases in 2 years was 870 corresponding to a positive rate of 30.27%
Dengue ; Epidemiology ; Dengue Hemorrhagic Fever

A descriptive prospective study of hospitalized Dengue including Dengue Fever (OF) and Dengue Haemorrhagic Fever (DHF) was undertaken in An Giang General Hospital. An Giang Province from April 2002 to May 2003. A first blood sample (BS) will be taken on admission to detect dengue antibody by Elisa (IgM and IgG) and virus isolation. The second BS will be drawn on discharge with the same test. If the patient is discharged before day 10th after the onset of fever, a third BS will be planned, for IgM and IgG too. In the hospital, all patients will be follow-up adequate platelet count and haematocrit. - There is 1009 patient selected (less than 15 years old), 5 DHF deaths due to DHF and 4 deaths due to others. Classification of the Dengue hospitalized cases: DF (28. 5%), DHF (49%) and DSS (10%). - The highest positive IgM rate is belong to DSS patient group (89%) and then DHF, the lowest rate is DF (34%). The virus isolated rate of the DSS patient group is highest (16.8%), and then DF (14.6%). DEN2 is predominant (with 84% of all virus isolated), and then DEN4 (8.8%). - On the admission, there are the overload for Dengue diagnosis. 12% cases with DF/DHF on the admission but they are typhoid fever, measles and viral infection on the discharge. - Clinical and laboratory findings are the more severe (thrombocytopenia and haemoconcentration), the more positive IgM rate and virus isolated. - For the correspondences between DF, DHF diagnosis. Clinical and laboratory findings according to WHO criteria: there are only 22.2% of DHF satisfied 4/4 WHO criteria, 39.2% satisfied 3/4 criteria and ultrasound is the test supported for these DF, DHF cases. - 71% confirmed DHF cases and 26% confirmed DSS cases have not thrombocytopenia and haemoconcentration. - The haemorrhagic manifestation just appear in 46.6% of DHF cases, even if DSS cases, there are only 56.2% cases have got the haemorrhagic manifestations.
Dengue Hemorrhagic Fever ; Dengue ; Diagnosis

The study was conducted at five communes from regions (Hµ T©y, Thõa Thiªn HuÕ, §µ N½ng, Kh¸nh Hßa, and Kiªn Giang province). The results indicated that the key breeding places of Aedes aegypti is different from region to region. In the Northern field trial, key breeding sites of Aedes aegypti are concrete tanks (65.6%); aquarium tanks (10.0%); and flower vases (15%). In the Central region, key breeding sites of Aedes Aegypti are wells, drums, ant traps, aquariums, toilette tanks. In the South, Aedes aegypti larvae are concentrated in big-size jars (67%), small-breeding sites of dengue vectors was changed after applying the intervention methods. It is clearly that the identification of key breeding places of Aedes aegypti are useful to propose the appropriate, effective control methods, and to evaluate the success of intervention measures.
Dengue ; Aedes ; Dengue Hemorrhagic Fever

Source of Aedes larvae was investigated in 200 households in provinces of Hµ T©y, Thõa thiªn HuÕ, §µ N½ng, Kh¸nh Hßa, Kiªn giang between 1998 - 2000. Mesocyclops were released to water containers and the waste water containers were eliminated. the results showed that in Northern area, mosquito and larvae population reduced by 100% after 13 months of project and maintained for several following months. In Central area, larvae population reduced by 90,7% and mosquito by 39.2% to 71.8%. In southern area, larvae population reduced by 97.7%, mosquito by 92.0% and there was not patient with dengue fever
Copepoda ; Dengue ; Dengue Hemorrhagic Fever

Background: In Vietnam, Dengue Fever/Dengue Haemorrhagic Fever (DF/DHF) is one of ten contagious diseases causing epidemics with the highest prevalence.\r\n', u'Objectives: To describe some characteristics of DF/DHF epidemic in Khanhhoa province in 2005. \r\n', u'Subjects and methods: The descriptive study based on available data obtained from the surveillance reporting system.\r\n', u'Results: Total reported cases were: 5.365 (morbidity rate = 469.58 per 100.000) and 4 deaths (CFR = 0,074%).446 of 1.661 Mac Elisa tested cases were positives (positively = 26.9%). The positive cases in male were higher than that in female. Almost all of the positive cases were less than 15 years of age. Virus serotype D1 and D2 were isolated in the epidemic. 5 of 7 districts (except 2 mountainous districts) had outbreaks. The epidemic started in April and stopped in December. Ninhhoa district was the first location of the outbreak and Vanninh district was the last one. Geographical distribution of the epidemic was as follows: costal communes=54.6%, delta communes = 30.3%, urban communes =15.1%. The epidemic level was medium (>20% - <50% of communes having the epidemic). "Pilot intervention communes" had 4 times the higher risk of DF/DHF than "non pilot intervention communes". \r\n', u'Conclusions: IEC activities for preventing DF/DHF should be strengthened. For maintaining the low mosquito and breutau index, we need routine preventive actions. Authorities need to consider and to consolidate the activities of Pilot intervention communes. Coastal communes should be supplied with running water. \r\n', u'\r\n', u'
dengue fever/dengue haemorrhagic fever ; epidemic

Epidemiological characteristics of Dengue hemorrhagic fever (DHF) in the High-Plateaux were assessed using data from the national DHF control project and the results of viral isolation and serologic surveillance between 1998 - 2004. From 1998 to 2004, the number of epidemics was decreasing. Main forms of DHF I&II accounted for 86.90%. The majority of epidemics occurred in Buon Ma Thuot city and Pleiku city. Some epidemics has occurred in others districts in the High-Plateaux from 1999 to 2004 at mild degrees. Interestingly, the main types of DHF were Dengue virus type 3 in 1998, Dengue virus type 2 in 2002, and Dengue virus type 1 in 2004. The seropositive rate was high (35.02 - 40.78%) and primarily infected patients were predominant (57.75 - 76.70%).
Dengue ; Fever, Epidemiologic Studies

Subject 6928 persons in 1454 households, T©n Minh commune, Th­êng TÝn district, Hµ T©y province where the dengue hemorrhagic fever occurred during 1988 -1992. Methods: survey of focus of Aedes aegypti, training, and education for public perception, release of Mesocyclops in the field training and monitoring the vector. Results: the education for enhancement of the public perception, release of mesocyclops and removal of the wasted objects gave the long-term social and economic efficacy. These were easy to implement and can be enlarged to other areas to actively control the epidemic fever/ dengue hemorrhagic fever
Dengue Hemorrhagic Fever ; Copepoda

No abstract available.
Arthralgia* ; Dengue* ; Fever*

In the year 2001, the Arbo virus Laboratory had received Dengue hemorrhagic fever samples from 19 provincial center for Preventive Medicine to isolate virus. 83 dengue viruses of 4 type were detected. Among them, the two main germs were dengue 2 and dengue 4. Viruses were detected mainly in infected children with hemorrhagic fever of I-II degree. Dengue 2 was the causative agent of DHF of I-III degree with a higher number of cases than other serotypes. 4.046 sera samples was examined by Mac ELISA, among them 56.13% was (+). However in Ma-ELISA(+) regions, there is no effective methods for dengue control.
Dengue ; Dengue Hemorrhagic Fever ; Child ; epidemiology ; serum