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Manifestations of severe dengue fever in children

When the Aedes mosquito bites a person infected with the virus dengue, mosquitoes can become carriers of the virus. If this mosquito bites another person, that person can become infected with the dengue virus and then possibly get dengue fever. The virus cannot be transmitted directly from person to person.

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Manifestations of severe dengue fever in children. (Illustration)

In rare cases, dengue can lead to a more serious form of the disease known as dengue hemorrhagic fever (DHF). DHF can be life-threatening and requires immediate treatment.

Manifestations of severe dengue fever in children

Watch for signs and symptoms of severe dengue. The warning signs usually begin 24 to 48 hours after the fever is gone. Parents need to take their child to the nearest clinic or medical facility if they have any of the following symptoms:

Refusing to take liquids by mouth or vomiting immediately after taking them.

– High fever that does not go down with a temperature of 39 degrees Celsius or higher.

– Severe abdominal pain.

– Vomiting profusely (at least 3 times in 24 hours).

Bleeding from the nose or gums, swollen glands, joint pain, bone or muscle aches, and skin rash.

Vomiting blood or blood in the stool (the stool may be as black as coal tar).

Feeling tired, restless or irritable, breathing fast and tired/restless.

– Mottled skin, cold sweats or cold hands and feet.

No urine in the last 6 hours.

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Parents need to pay special attention to their child’s fever. (Illustration)

How to treat severe dengue in children?

As with most viral infections, there is no specific treatment for dengue but simple supportive care with fluids. No antibiotics are needed to treat this viral infection.

– Reduce temperature, reduce fever for children: Extremely high temperatures can be dangerous and can cause seizures in young children, known as febrile seizures. To lower a high fever below 39 degrees Celsius, gently wipe the child’s body with a wet towel and give paracetamol. Avoid certain medications, eg aspirin, NSAIDs (not steroid inflammatory drugs like ibuprofen) that can worsen platelet problems and also cause gastritis leading to bleeding.

– Infusion: The main treatment method is timely supportive treatment with intravenous fluids, oral or intravenous injection. Shock can be detected clinically by increased levels of hemoglobin as fluid enters body cavities.

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Regularly check your child’s temperature when he has dengue fever. (Illustration)

– Increase water intake: Always use oral liquids if your baby can drink.

– Add intravenous fluids: Additional intravenous fluids may be needed if the patient is unable to maintain oral intake and/or is in shock.

Close supervision during this critical period is very important.

Dengue fever prevention at home

Since there is no specific protocol for treating dengue fever, prevention is advisable. Children are susceptible to dengue fever because of their weak immune system. Here are some measures that can keep your child safe from dengue fever:

– Mosquito repellent: Children should be kept away when they are out of the house. Using a repellent has been shown to be very helpful. Mosquito repellents containing DEET (N, N-Diethyl-meta-toluamide) are recommended. These repellents protect children for at least 10 hours after a single application. You can even apply lemon eucalyptus oil.

– Keeping the house clean: Keep the house clutter-free and don’t let water collect anywhere. If water is present, disinfect it with liquids such as Dettol Disinfectant Liquid. Disinfectants ensure that these areas do not turn into breeding grounds for Aedes mosquitoes. And if the family really has to stock up on water, keep it in airtight containers.

Using shields: Use screens on doors and windows and also repair damaged areas. Close doors and windows that are not covered.

– Personal hygiene: Make sure your child washes his hands and feet often before eating, after returning home from the bathroom, and after using the toilet. Use antibacterial soap to keep your baby’s hygiene best.

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Always ensure personal hygiene for children to prevent dengue fever. (Illustration)

– Ask children to wear long sleeves and long pants whenever they are out of the house. Long clothes will ensure less mosquito contact.

Limit play time for children, especially avoid letting them go out at dusk and dawn, when mosquitoes are most active.

If your baby has a fever that persists for more than two days, you should consult a doctor.

Children have few or no symptoms of dengue fever. The dengue fever symptoms can easily be confused with malaria, spirochetes and typhoid fever. Persistent fever or generalized pain are the first symptoms of dengue.

Continuous fever monitoring and watching for different symptoms can make diagnosis easier. Prevention and taking preventive measures is better than choice Dengue fever treatment after the disease is diagnosed. By making a few lifestyle changes and being more vigilant, parents can protect their baby from dengue fever.

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