6 people died from dengue fever: What stage of the disease is the most dangerous?

Increase in deaths

Accordingly, from the beginning of the year until now, the whole country has recorded 14,704 cases of dengue fever, including 6 deaths in Binh Duong (3), Dong Thap (1), Tay Ninh (1), and Dong Nai (1). ). Compared to the same period in 2021, the number of cases decreased slightly, but the number of deaths increased by 1 case.

The Ministry of Health forecasts that in the coming time, the number of cases will tend to increase because it is starting at the time of the epidemic season, in order to proactively implement preventive measures to prevent outbreaks, minimize the number of infections and reduce the number of infections. dead.

According to statistics from the Center for Disease Control of Ho Chi Minh City, as of mid-April, Ho Chi Minh City recorded nearly 4,500 cases of dengue fever, of which 109 severe cases are being treated at hospitals. In 2019, dengue fever broke out into an epidemic with more than 20,000 cases, the number of severe cases was only 38. Besides, the number of cases in 2022 is increasing and higher than the same period in 2020, 2021.

At the children’s hospitals in the city, it was found that the number of children hospitalized for dengue fever is increasing; especially, severe cases with multi-organ damage such as liver and kidney and requiring mechanical ventilation and dialysis. Currently, the most commonly affected age group is 8 -13 years old.

BS CKI. Le Thi Thuy Hang – Ho Chi Minh City University of Medicine and Pharmacy Hospital said that dengue fever is quite common in tropical countries, is an infectious disease caused by the mosquito (Aedes aegypti) carrying the dengue virus.

Illustrated photo.

Dengue fever with the initial symptoms of dengue is quite similar to some other viral infections such as influenza, especially the onset of the disease can be similar to Covid-19 so it is easy to miss. Therefore, patients should pay attention to the distinguishing feature of dengue fever, which is a high fever continuously for 2-7 days with signs of hemorrhage such as petechiae, bleeding teeth, nosebleeds, bruises, vaginal bleeding. girls in puberty)…

Dengue fever usually progresses in stages and specific symptoms:

– Incubation period: This period will last an average of 3-7 days. Dengue virus depends on each location and the immunity of each person that multiply gradually, until enough quantity will cause many specific symptoms.

– Dengue fever phase: This phase lasts from about 2 to 7 days and begins with fever symptoms with headache, sore throat, nausea, fatigue, and the characteristic of dengue fever is high fever (from 39 to 10 years old). 40 degrees C).

– Dangerous stage: This is the most dangerous stage, but the patient is often subjective because the fever has decreased significantly. At this time, the dengue virus has weakened the immune system a lot. Therefore, white blood cells and platelets decrease significantly, affecting the patient’s resistance. At this time, the symptoms of bleeding begin to appear clearly such as: bleeding under the skin, nosebleeds, etc. Depending on the severity and complications of the disease, it can lead to internal bleeding, pleural effusion, and pleural effusion. Gastrointestinal bleeding… extremely dangerous.

Recovery phase: is the period in which the patient’s body gradually recovers. At that time, platelets gradually increase, heart rate and hemodynamics stabilize, urinating a lot, feeling hungry and thirsty.

Some notes to remember when taking care of dengue patients

According to Dr. Hang, when suffering from dengue fever, patients often measure their temperature to prevent high fever or abnormal body temperature. When fever, the patient is often tired, easily dehydrated, for children need to add 1.5 liters of water during the day, for adults, about 2 liters, can drink boiled water to cool, fruit juice (water coconut, orange, lemon) or thin porridge with salt. You should use a warm towel to cool the body, put a towel in the armpit and groin area to lower body temperature. Wear loose, light clothing, preferably made of cotton. If the fever is over 38.5, take antipyretic as prescribed by the doctor every 4 to 6 hours.

Note, patients do not drink red soft drinks will cause confusion with stomach bleeding if vomiting.

Eat liquid foods such as porridge, soup or crushed rice. At the same time, avoid foods that are high in fat, causing indigestion, bloating.

In case the patient has symptoms of struggling, lethargy, lethargy or nausea, severe abdominal pain, bleeding, cold hands and feet, shortness of breath, little urine, it is necessary to seek medical attention as soon as possible.

When sick, the sick person should bathe normally. However, from the 3rd to the 7th day of illness, although the fever may decrease, there is bleeding of different degrees due to high platelet count, so it is necessary to avoid vigorous scrubbing, which will cause bleeding. under the skin or in the muscle.

It is recommended to take a warm bath because using cold water to shower will cause the skin vessels to contract, the internal vessels to dilate, leading to the risk of death.

Khanh Chi