Dengue Fever Essay

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Introduction
Dengue fever, also known as the “breakbone fever”, is a vector-borne viral disease endemic in tropic and subtropic regions, with around 100 million symptomatic new cases each year worldwide15. It is caused by any one of the four closely-related serotypes or viruses that is spread by multiple species of mosquitoes, in particular the Aedes aegypti 6,13.
Signs and Symptoms
The symptoms include high fever, severe headache, joint and muscle pain and a characteristic rash that resembles measles. In some cases the disease develops into a life-threatening condition called dengue hemorrhagic fever which results in low blood platelet count and bleeding, low blood pressure, enlarged liver, and a shock-like state which may result in death if left untreated13.
Pathogenic Factors
Dengue virus (DENV) is any of the four serotypes that cause the dengue fever or dengue hemorrhagic fever. It is a single positive-stranded RNA virus belonging to the family of Flaviviridae. Its genome is consisted of 11,000 bases that code for three structural proteins, membrane protein M (prM), envelope protein E, capsid protein C, seven nonstructural proteins NS1-NS5, and a short non-coding region on both the 5’ and 3’ ends 2, 6, 19.
The DENV envelope protein E, which is found on the virus surface, has a role as a mediating factor in the initial attachment of the virus to the host cell. Further, several cellular proteins and carbohydrate molecules that act as attachment factors interacting with the viral envelope protein E have been identified. These factors allow the virus population to concentrate on the cell surface thus increasing their chance of access to their target cellular receptor(s). Some of these known molecules that interact with the vi...

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...agic fever 17. The safety measures individuals can take to protect against the transmission of the disease are:
• Wear clothing and shoes that cover exposed areas of the body such as arms, legs, hands, and feet
• Apply insect repellent such as DEET (diethyl toluamide) to exposed areas of the body.
• Use mosquito nets impregnated with insecticides in places where screens for doors and windows are absent.
Treatments
There is no specific treatment for dengue fever. In order to control the fever or pain, it is best to not use aspirin because of the increased risk of bleeding associated with aspirin. Patients must rest and drink fluids, and in case of those with more severe cases of the disease, intravenous fluid would be administered. Also, they will be placed under close monitoring to ensure that the patients don’t lose too much fluid from their bloodstream 2,18.

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