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Dengue fever

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1185: 566: 1472: 439: 453: 701: 819: 550: 897: 965: 1085: 1253: 5684: 5672: 1423:, due to the associated muscle and joint pains. In the report title he uses the more formal term "bilious remitting fever". The term dengue fever came into general use only after 1828. Other historical terms include "breakheart fever" and "la dengue". Terms for severe disease include "infectious thrombocytopenic purpura" and "Philippine", "Thai", or "Singapore hemorrhagic fever". 49: 947:
Ideally, mosquito control would be a community activity, e.g. when all members of a community clear blocked gutters and street drains and keep their yards free of containers with standing water. If residences have direct water connections this eliminates the need for wells or street pumps and water-carrying containers.
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has been attributed partly to disruption caused by the war, and partly to subsequent urbanisation in south-east Asia. As novel serotypes were introduced to regions already endemic with dengue, outbreaks of severe disease followed. The severe hemorrhagic form of the disease was first reported in the
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have been approved and are commercially available. Dengvaxia became available in 2016 but it is only recommended to prevent re-infection in individuals who have been previously infected. The second vaccine, Qdenga, became available in 2022 and is suitable for adults, adolescents and children from
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Most people with dengue recover without any ongoing problems. The risk of death among those with severe dengue is 0.8–2.5%, and with adequate treatment this is less than 1%. However, those who develop significantly low blood pressure may have a fatality rate of up to 26%. The risk of death among
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The principal risk for infection with dengue is the bite of an infected mosquito. This is more probable in areas where the disease is endemic, especially where there is high population density, poor sanitation, and standing water where mosquitoes can breed. It can be mitigated by taking steps to
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The principal risk for infection with dengue is the bite of an infected mosquito. This is more probable in areas where the disease is endemic, especially where there is high population density, poor sanitation, and standing water where mosquitoes can breed. It can be mitigated by taking steps to
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The characteristic symptoms of mild dengue are sudden-onset fever, headache (typically located behind the eyes), muscle and joint pains, nausea, vomiting, swollen glands and a rash. If this progresses to severe dengue the symptoms are severe abdominal pain, persistent vomiting, rapid breathing,
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in more than 100 countries with cases reported in every continent with the exception of Antarctica. The Americas, Southeast Asia and the Western Pacific regions are the most seriously affected. It is difficult to estimate the full extent of the disease, as many cases are mild and not correctly
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insecticides, while sometimes done, is not thought to be effective. Reducing open collections of water through environmental modification is the preferred method of control, given the concerns of negative health effects from insecticides and greater logistical difficulties with control agents.
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decreases, and the blood pressure becomes so low that it cannot supply sufficient blood to vital organs. The spread of the virus to the bone marrow leads to reduced numbers of platelets, which are necessary for effective blood clotting; this increases the risk of bleeding, the other major
975:(formerly CYD-TDV) became available in 2015, and is approved for use in the US, EU and in some Asian and Latin American countries. It is an attenuated virus, is suitable for individuals aged 6–45 years and protects against all four serotypes of dengue. Due to safety concerns about 826:
The exact mechanism of ADE is not fully understood. It appears that ADE occurs when the antibodies generated during an immune response recognize and bind to a pathogen, but they fail to neutralize it. Instead, the antibody-virus complex has an enhanced ability to bind to the
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Dengue has increased in incidence in recent decades, with WHO recording a ten fold increase between 2010 and 2019 (from 500,000 to 5 million recorded cases). This increase is tied closely to the increasing range of Aedes mosquitoes, which is attributed to a combination of
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In Central and South America, the Aedes mosquito had been eradicated in the 1950s; however the eradication program was discontinued in the 1970s and the disease re-established itself in the region during the 1980s, becoming hyperendemic and causing significant epidemics.
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and is released into its saliva. Next time the mosquito feeds, the infectious saliva will be injected into the bloodstream of its victim, thus spreading the disease. The virus seems to have no detrimental effect on the mosquito, which remains infected for life.
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Warning symptoms of severe dengue include abdominal pain, persistent vomiting, odema, bleeding, lethargy, and liver enlargement. Once again, these symptoms can be confused with other diseases such as malaria, gastroenteritis, leptospirosis, and typhus.
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Protection of the home can be achieved with door and window screens, by using air conditioning, and by regularly emptying and cleaning all receptacles both indoors and outdoors which may accumulate water (such as buckets, planters, pools or trashcans).
1495:. Goals are to increase public awareness about dengue, mobilize resources for its prevention and control and, to demonstrate the Southeast Asian region's commitment in tackling the disease. Efforts are ongoing as of 2019 to make it a global event. 1235:
diagnosed. WHO currently estimates that 3.9 billion people are at risk of dengue infection. In 2013, it was estimated that 390 million dengue infections occur every year, with 500,000 of these developing severe symptoms and 25,000 deaths.
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avoid bites such as by wearing clothing that fully covers the skin, using mosquito netting while resting, and/or the application of insect repellent (DEET being the most effective); it is also advisable to treat clothing, nets and tents with 0.5%
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There is no specific treatment for dengue fever. In mild cases, treatment is focused on treating pain symptoms. Severe cases of dengue require hospitalisation; treatment of acute dengue is supportive and includes giving fluid either by mouth or
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of the World Health Organization. It is indicated for the prevention of dengue disease in individuals four years of age and older, and can be administered to people who have not been previously infected with dengue. It is a live
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Dengue has continued to increase in prevalence during the 21st century, as the mosquito vector continues to expand its range. This is attributed partly to continuing urbanisation, and partly to the impact of a warmer climate.
3793: 425:. During 2023, more than 5 million infections were reported, with more than 5,000 dengue-related deaths. As most cases are asymptomatic or mild, the actual numbers of dengue cases and deaths are under-reported. 761:
period). A female mosquito that takes a blood meal from the infected host then propagates the virus in the cells lining its gut. Over the next few days, the virus spreads to other tissues including the mosquito's
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in more than one hundred countries, dengue is spreading from tropical and subtropical regions to the Iberian Peninsula and the southern states of the US, partly attributed to climate change. It is classified as a
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Graph of when laboratory tests for dengue fever become positive. Day zero refers to the start of symptoms, 1st refers to in those with a primary infection, and 2nd refers to in those with a secondary infection.
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Chronic diseases – such as asthma, sickle cell anemia, and diabetes mellitus – increase the risk of developing a severe form of the disease. Other risk factors for severe disease include female sex, and high
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to that type, but only short-term immunity to the others. Subsequent infection with a different type increases the risk of severe complications. The symptoms of dengue resemble many other diseases including
507:). Severe dengue can lead to shock, internal bleeding, organ failure and even death. Warning signs include severe stomach pain, vomiting, difficulty breathing, and blood in the nose, gums, vomit or stools. 979:(ADE), it should only be given to individuals who have previously been infected with dengue, in order to protect them from reinfection. It is given subcutaneously as three doses at six month intervals. 492:(40 °C/104 °F), and is associated with generalized pain and a headache; this usually lasts two to seven days. There may also be nausea, vomiting, a rash, and pains in the muscle and joints. 3375: 822:
In antibody-dependent enhancement (ADE), antibodies bind to both viral particles and Fc gamma receptors expressed on immune cells, increasing the likelihood that the viruses will infect those cells.
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in many tropical urban centres throughout the 19th and early 20th centuries, even though significant outbreaks were infrequent. The marked spread of dengue during and after the
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Bhatt S, Gething PW, Brady OJ, Messina JP, Farlow AW, Moyes CL, Drake JM, Brownstein JS, Hoen AG, Sankoh O, Myers MF, George DB, Jaenisch T, Wint GR, Simmons CP (April 2013).
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and consequent expansion of international trading. There have been descriptions of epidemics of dengue-like illness in the 17th century, and it is likely that epidemics in
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following severe dengue include fatigue, somnolence, headache, concentration impairment and memory impairment. A pregnant woman who develops dengue is at higher risk of
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The disease infects all races, sexes, and ages equally. In endemic areas, the infection is most commonly seen in children who then acquire a lifelong partial immunity.
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When a mosquito carrying dengue virus bites a person, the virus enters the skin together with the mosquito's saliva. The virus infects nearby skin cells called
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International Anti-Dengue Day is observed every year on 15 June in a number of countries. The idea was first agreed upon in 2010 with the first event held in
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For moderate illness, those who can drink, are passing urine, have no warning signs and are otherwise reasonably healthy can be monitored carefully at home.
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referring to the dislike of movement by affected patients. Slaves in the West Indies having contracted dengue were said to have the posture and gait of a
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due to potential infection with the virus. Someone who has a dengue infection is typically not allowed to donate blood for at least the next six months.
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children less than five years old is four times greater than among those over the age of 10. Elderly people are also at higher risk of a poor outcome.
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by more than one disease. For travellers, dengue fever diagnosis should be considered in anyone who develops a fever within two weeks of being in the
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Severe dengue can develop suddenly, sometimes after a few days as the fever subsides. Leakage of plasma from the capillaries results in extreme
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The earliest descriptions of a dengue outbreak date from 1779; its viral cause and spread were understood by the early 20th century. Already
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and seven other protein molecules that are required for replication of the virus. There are four confirmed strains of the virus, called
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in areas where more than one serotype is circulating; this increases the risk of severe disease on a second or subsequent infection.
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Blood tests can be used to confirm a diagnosis of dengue. During the first few days of infection, enzyme-linked immunosorbent assay (
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bleeding gums or nose, fatigue, restlessness, blood in vomit or stool, extreme thirst, pale and cold skin, and feelings of weakness.
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Most cases of dengue fever have mild symptoms, and recovery takes place in a few days. No treatment is required for these cases.
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Severe dengue is a life-threatening emergency, requiring hospitalization and potentially intensive care. Warning signs include
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Most people recover within a week or so. In about 5% of cases, symptoms worsen and can become life-threatening. This is called
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Infections are most commonly acquired in urban environments where the virus is primarily transmitted by the mosquito species
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The recovery phase usually lasts two to three days. The improvement is often striking, and can be accompanied with severe
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For 2 to 10 days after becoming newly infected, a person's bloodstream will contain a high level of virus particles (the
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Generally, areas where dengue is endemic have only one serotype of the virus in circulation. The disease is said to be
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Laughlin CA, Morens DM, Cassetti MC, Costero-Saint Denis A, San Martin JL, Whitehead SS, Fauci AS (1 October 2012).
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vaccine containing the four serotypes of dengue virus, administered subcutaneously as two doses three months apart.
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The rash that commonly forms during the recovery from dengue fever with its classic islands of white in a sea of red
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The first historical record of a case of probable dengue fever is in a Chinese medical encyclopedia from the
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In addition to the two vaccines which are already available, several vaccine candidates are in development.
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Christie J. On Epidemics of Dengue Fever: Their Diffusion and Etiology. Glasgow Med J. 1881;16(3):161-176.
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The name came into English in the early 19th century from West Indian Spanish, which borrowed it from the
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Outbreaks of dengue fever increase the need for blood products while decreasing the number of potential
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is defined as that associated with severe bleeding, severe organ dysfunction, or severe plasma leakage.
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1779–1780: 'Knokkel-koorts' in Batavia (now Jakarta, Indonesia) and 'break bone fever' in Philadelphia
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Kalimuddin S, Teh YE, Wee LE, Paintal S, Sasisekharan R, Low JG, Sheth SK, Ooi EE (18 August 2022).
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As of March 2024, there are two vaccines to protect against dengue infection; Dengvaxia and Qdenga.
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During this period, there is leakage of plasma from the blood vessels, together with a reduction in
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receptors of the target immune cells, enabling the virus to infect the cell and reproduce itself.
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A 1920s photograph of efforts to disperse standing water and thus decrease mosquito populations
875: 417: 408:. Infection can be prevented by mosquito elimination and the prevention of bites. Two types of 280: 206: 5626: 5524: 4991: 4922: 4362: 3063: 2762: 2286: 6978: 6664: 6573: 6551: 6215: 6124: 5892: 5694: 5520: 4826: 1147: 779: 5528: 4960: 6716: 6711: 6090: 4228: 3956:
Beltrán-Silva SL, Chacón-Hernández SS, Moreno-Palacios E, Pereyra-Molina JÁ (1 July 2018).
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in Spanish due to this word existing in Spanish with the meaning "fastidiousness" and this
1303:. In endemic areas, dengue infections peak when rainfall is optimal for mosquito breeding. 930:. This is done by eliminating open sources of water, or if this is not possible, by adding 233: 4861: 4648: 4046: 3955: 3514: 1393:: "a sort of cramp-like seizure (caused by) an evil spirit". The borrowed term changed to 8: 6637: 6506: 6301: 5553: 1049:
Mild cases of dengue fever can easily be confused with several common diseases including
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and buckets) in which to breed. In rural settings the virus is transmitted to humans by
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A study estimate that the global burden of dengue in 2013 amounted to US$ 8.9 billion.
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would enable faster and more appropriate treatment. Attempts are ongoing to develop an
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The course of infection is divided into three phases: febrile, critical, and recovery.
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Paz-Bailey G, Adams LE, Deen J, Anderson KB, Katzelnick LC (February 2024). "Dengue".
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As of July 2024, there is no specific antiviral treatment available for dengue fever.
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Chen LH, Wilson ME (October 2010). "Dengue and chikungunya infections in travelers".
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Ranjit S, Kissoon N (January 2011). "Dengue hemorrhagic fever and shock syndromes".
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mosquitoes) and are often endemic in the same regions, so that it is possible to be
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Healthgrid applications and core technologies : proceedings of HealthGrid 2010
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Fever, headache, muscle and joint pain, rash. Can be severe, mild or asymptomatic
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Kariyawasam R, Lachman M, Mansuri S, Chakrabarti S, Boggild AK (20 April 2023).
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The white blood cells respond by producing several signaling proteins, such as
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Dengue virus is most frequently transmitted by the bite of mosquitos in the
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Kularatne SA (September 2015). "BMJ Best Practice Review – Dengue fever".
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avoid bites such as by wearing clothing that fully covers the skin, using
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Obi JO, Gutiérrez-Barbosa H, Chua JV, Deredge DJ (30 September 2021).
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in 1953; by the 1970s, it had become recognised as a major cause of
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Dengue guidelines, for diagnosis, treatment, prevention and control
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which referred to a "water poison" associated with flying insects.
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with analgesics, fluid replacement, and bed rest are recommended.
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divides dengue fever into two classes: uncomplicated and severe.
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Shepard DS, Undurraga EA, Halasa YA, Stanaway JD (August 2016).
1800:"Dengue haemorrhagic fever or dengue shock syndrome in children" 1734:"World's first dengue fever vaccine launched in the Philippines" 1325:, spread out of Africa in the 15th to 19th centuries due to the 6917: 6696: 6425: 6414: 5538: 5515: 5488: 5077: 3914: 3398:"Host Response to the Dengue Virus | Learn Science at Scitable" 3217:"Host Response to the Dengue Virus | Learn Science at Scitable" 2712:
Guzman MG, Halstead SB, Artsob H, et al. (December 2010).
1488: 681: 665: 629: 5724: 5416: 5419:"The global economic burden of dengue: a systematic analysis" 5080:"Current Trends and Limitations in Dengue Antiviral Research" 1402: 1334: 1097: 867: 714: 555:
The rash of dengue fever in the acute stage of the infection
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Paixão ES, Teixeira MG, Costa MN, Rodrigues LC (July 2016).
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Vaccines for biodefense and emerging and neglected diseases
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A National Dengue Day is held in India annually on 16 May.
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The Philippines has an awareness month in June since 1998.
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National Institute of Allergy and Infectious Diseases, NIH
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The International Society for Neglected Tropical Diseases
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Simmons CP, Farrar JJ, Nguyen vV, Wills B (April 2012).
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Simmons CP, Farrar JJ, Nguyen vV, Wills B (April 2012).
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Teo A, Tan HD, Loy T, Chia PY, Chua CL (30 March 2023).
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Teo A, Tan HD, Loy T, Chia PY, Chua CL (30 March 2023).
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Rodenhuis-Zybert IA, Wilschut J, Smit JM (August 2010).
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Simmons CP, Farrar JJ, Nguyen vV, Wills B (April 2012).
1752: 4522:"Dengue increase likely during rainy season: WHO warns" 3615: 2531: 1956:"Dengue: How to keep children safe | UNICEF South Asia" 5362:"Did you know: Dengue Awareness Month | Inquirer News" 5278:
ACTION AGAINST DENGUE Dengue Day Campaigns Across Asia
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Schematic depiction of the symptoms of dengue fever
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This may result in fluid accumulation in the 4356: 4354: 4217:"The global distribution and burden of dengue" 3546:"Yellow fever and dengue: a threat to Europe?" 2239:"Yellow fever and dengue: a threat to Europe?" 1405:, and the disease was known as "dandy fever". 728:species that may transmit the disease include 389:Dengue is spread by several species of female 5710: 5246: 5244: 5242: 4162:"Dengue Areas of Risk Around the World | CDC" 3962:Revista Médica del Hospital General de México 3307: 3248: 3164: 3162: 3160: 2449: 2280: 2278: 2054: 1840: 1246:An online map showing reports of dengue fever 578: 4593: 4591: 4589: 4587: 4585: 4583: 4343:: CS1 maint: multiple names: authors list ( 3878: 3425: 3423: 3239: 3129:Journal of Infection in Developing Countries 3116: 2883: 2097: 1886:. Bethesda, MD, USA: StatPearls Publishing. 1443:medicine targeting the NS3 or NS5 proteins. 1291:. 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See 5196: 5084:Tropical Medicine and Infectious Disease 4954: 4952: 4950: 4948: 4545: 4439: 4321:Darvin Scott Smith, MD, MSc, DTM&H. 4279: 4013:"Dengue fever - Diagnosis and treatment" 3869: 3503: 3169:Bisen PS, Raghuvanshi R (22 July 2013). 3125:"Unusual mode of transmission of dengue" 3021: 2702: 2311: 1470: 1183: 1083: 1008:International Classification of Diseases 968:Illustration of a subcutaneous injection 963: 895: 817: 699: 616: 322:, and a characteristic skin itching and 5187: 4105: 3537: 3372:The Children's Hospital of Philadelphia 2815: 2793:"Aedes aegypti – Factsheet for experts" 2432: 2391: 2389: 2170: 2048: 1725: 1721:from the original on 10 September 2017. 680:molecules (C, prM and E) that form the 524:depletion of fluid from the circulation 6971: 4640: 4597: 4360: 3826:from the original on 20 September 2023 3543: 2635: 2398:Current Opinion in Infectious Diseases 2284: 2236: 2227: 2055:Henchal EA, Putnak JR (October 1990). 1731: 1603: 1536: 1449: 1157:, decreasing platelets and increasing 847:. The Langerhans cells migrate to the 528:decreased blood supply to vital organs 6532:Hemorrhagic fever with renal syndrome 5698: 4945: 4910:from the original on 3 December 2013. 4853: 4697:from the original on 3 December 2013. 4600:"Dengue and dengue hemorrhagic fever" 4189:Lowth M, et al. (22 June 2022). 4188: 4184: 4182: 3857:from the original on 29 February 2024 3638:from the original on 25 February 2024 3491:from the original on 29 December 2010 3408:from the original on 23 February 2024 3378:from the original on 29 February 2024 3227:from the original on 23 February 2024 3197:from the original on 23 February 2024 3104:from the original on 28 February 2024 3043:from the original on 29 December 2010 2884:Gould EA, Solomon T (February 2008). 2877: 2847:from the original on 30 October 2012. 2513:from the original on 26 February 2024 2036:from the original on 27 February 2024 1966:from the original on 13 February 2024 1933:from the original on 14 February 2024 1917: 1915: 1913: 1898:from the original on 14 December 2021 1861:from the original on 14 February 2024 1779:from the original on 13 February 2024 1285:and other related mosquitoes such as 428: 4771: 3847:"Dengue Clinical Presentation | CDC" 2714:"Dengue: a continuing global threat" 2698:from the original on 9 October 2022. 2651:Cellular and Molecular Life Sciences 2503:"Dengue fever - Symptoms and causes" 2386: 2158:from the original on 26 January 2024 2026:"Qdenga | European Medicines Agency" 1740:from the original on 18 October 2016 1257:https://www.healthmap.org/dengue/en/ 6035:Venezuelan equine encephalomyelitis 5372:from the original on 7 January 2019 5312:from the original on 7 January 2019 5280:. World Health Organization. 2011. 5139:"A dengue vaccine whirlwind update" 4753:from the original on 28 August 2021 4717:The New England Journal of Medicine 4403:The New England Journal of Medicine 4159: 4047:"Dengue Treatment & Management" 3844: 3512: 2926:from the original on 28 August 2021 2859:"Travelers' Health Outbreak Notice" 2623:from the original on 28 August 2021 2374:from the original on 28 August 2021 2338:The New England Journal of Medicine 2006:from the original on 5 January 2019 1466: 1431:Research directions include dengue 13: 5197:Teo D, Ng LC, Lam S (April 2009). 4765: 4179: 4093:from the original on 10 March 2024 4057:from the original on 10 March 2024 4045:Scott Smith D (16 November 2022). 4023:from the original on 10 March 2024 3899:from the original on 16 March 2024 3796:from the original on 16 March 2024 3754:"Administering the Dengue Vaccine" 1910: 1591:from the original on 14 March 2024 1504: 922:The primary method of controlling 480: 14: 7010: 5482:to help reach a consensus. › 5461: 5010:from the original on 12 May 2016. 4990:Barrett AD, Stanberry LR (2009). 4979:from the original on 21 May 2016. 4383:from the original on 9 June 2016. 3990:from the original on 4 March 2024 3932:from the original on 4 March 2024 3879:Organization WH (21 April 2009). 3764:from the original on 8 March 2024 3734:from the original on 9 March 2024 3704:from the original on 9 March 2024 3668:from the original on 8 March 2024 3603:from the original on 8 March 2024 3578:from the original on 7 July 2011. 3525:from the original on 8 March 2024 2803:from the original on 10 July 2017 2307:from the original on 9 June 2016. 2271:from the original on 7 July 2011. 1677:in the Merriam-Webster Dictionary 1454: 1035:insufficient protein in the blood 997: 891: 851:, where the infection spreads to 56:Typical rash seen in dengue fever 6025:Western equine encephalomyelitis 6015:Eastern equine encephalomyelitis 5682: 5670: 5332:"Dengue Awareness Month | GOVPH" 5302:"Calling for a World Dengue Day" 5215:10.1111/j.1365-3148.2009.00916.x 4933:from the original on 5 June 2011 4778:PLOS Neglected Tropical Diseases 3082:from the original on 1 May 2016. 2781:from the original on 1 May 2016. 2538:PLOS Neglected Tropical Diseases 2452:Pediatric Critical Care Medicine 1999:(93): 457–76. 7 September 2018. 1251: 1110:Nucleic acid amplification tests 564: 548: 451: 437: 349:Dengue virus has four confirmed 68: 6150:Crimean–Congo hemorrhagic fever 5410: 5384: 5354: 5324: 5294: 5270: 5130: 5071: 5014: 4914: 4844: 4819: 4539: 4514: 4488: 4314: 4273: 4208: 4153: 3926:MSD Manual Professional Edition 3838: 3808: 3776: 3746: 3716: 3680: 3650: 3390: 3360: 3301: 3209: 3086: 3055: 3003:"Vector-borne viral infections" 2995: 2938: 2851: 2785: 2754: 2597:The Lancet. 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Avoid Dengue" 3181:10.1002/9781118393277.ch8 2886:"Pathogenic flaviviruses" 2663:10.1007/s00018-010-0357-z 2152:World Health Organization 2030:European Medicines Agency 1773:World Health Organization 1585:World Health Organization 1299:, population growth, and 1250: 1245: 1240: 1004:World Health Organization 936:biological control agents 746:. Humans are the primary 266: 262:5 million per year (2023) 258: 240: 229: 205: 188: 169: 161: 153: 133: 123: 111: 60: 55: 46: 38: 33: 6781:SARS-related coronavirus 6744:Henipavirus encephalitis 6602:Murid gammaherpesvirus 4 6447:Viral hemorrhagic fevers 6228:Viral hemorrhagic fevers 6200:Arbovirus encephalitides 6176:Arbovirus encephalitides 6146:Viral hemorrhagic fevers 6111:Banna virus encephalitis 6011:Arbovirus encephalitides 5956:Viral hemorrhagic fevers 5922:Saint Louis encephalitis 5889:Arbovirus encephalitides 5840:Viral hemorrhagic fevers 5774:Arbovirus encephalitides 5480:templates for discussion 4772:Kuno G (November 2015). 4452:British Medical Bulletin 4077:"Dengue Case Management" 3909:Textbox B and Textbox C. 3628:"Factsheet about dengue" 2191:British Medical Bulletin 1923:"Dengue Diagnosis | CDC" 601: 501:dengue hemorrhagic fever 298:areas. It is frequently 157:3–14 days after exposure 6885:Yaba monkey tumor virus 6242:Kyasanur Forest disease 6204:Tick-borne encephalitis 5905:Australian encephalitis 5798:California encephalitis 4598:Gubler DJ (July 1998). 3544:Reiter P (March 2010). 3513:CDC (20 October 2023). 3402:© 2014 Nature Education 3098:© 2014 Nature Education 2237:Reiter P (March 2010). 1732:East S (6 April 2016). 1071:infected simultaneously 1039:thickening of the blood 708:feeding on a human host 42:Dengue, breakbone fever 6232:Omsk hemorrhagic fever 5813:La Crosse encephalitis 4882:10.3201/eid1206.ET1206 4669:10.3201/eid1206.ET1206 2761:Solomonides T (2010). 1692:in Oxford Dictionaries 1524:Dengue fever outbreaks 1480: 1227: 1180:Dengue fever outbreaks 1089: 969: 926:is by eliminating its 901: 876:capillary permeability 835:Mechanism of infection 823: 709: 633: 207:Differential diagnosis 16:Mosquito-borne disease 6984:Insect-borne diseases 6665:Marburg virus disease 6216:Powassan encephalitis 5893:Japanese encephalitis 5392:"National Dengue Day" 5366:newsinfo.inquirer.net 5149:: 20499361231167274. 5039:10.1093/infdis/jis351 4729:10.1056/NEJMra1110265 4552:Global Health Journal 4548:"Dengue epidemiology" 4415:10.1056/NEJMra1110265 4286:Global Health Journal 4282:"Dengue epidemiology" 3845:CDC (13 April 2023). 3175:(1 ed.). Wiley. 2350:10.1056/NEJMra1110265 1804:BMJ Clinical Evidence 1474: 1316:Jin dynasty (266–420) 1187: 1087: 967: 899: 821: 780:Vertical transmission 737:A. polynesiensis 703: 628:showing dengue virus 620: 505:dengue shock syndrome 270:5,000 per year (2023) 6091:Semliki Forest virus 4959:Halstead SB (2008). 4862:"Etymologia: dengue" 4649:"Etymologia: dengue" 4616:10.1128/cmr.11.3.480 4500:Yale Environment 360 3448:10.1128/CMR.00035-09 2057:"The dengue viruses" 2032:. 16 December 2022. 1673:17 July 2022 at the 718:genus, particularly 234:Dengue fever vaccine 198:to the virus or its 19:For other uses, see 6638:Ebola virus disease 6302:Colorado tick fever 6057:O'nyong'nyong fever 4241:10.1038/nature12060 4233:2013Natur.496..504B 3730:. 1 December 2017. 3374:. 7 December 2020. 2730:10.1038/nrmicro2460 2724:(12 Suppl): S7–16. 2073:10.1128/CMR.3.4.376 1450:Society and culture 1361:in Southeast Asia. 743:A. scutellaris 413:four years of age. 6850:Simian foamy virus 5613:External resources 4869:Emerg. Infect. Dis 4860:Anonymous (2006). 4656:Emerg. Infect. Dis 4647:Anonymous (2006). 4465:10.1093/bmb/ldq019 4361:Gubler DJ (2010). 4019:. 5 October 2022. 3822:. 1 January 2022. 3632:www.ecdc.europa.eu 3009:on 3 February 2011 2797:www.ecdc.europa.eu 2285:Gubler DJ (2010). 2204:10.1093/bmb/ldq019 2112:(10427): 667–682. 1481: 1346:constantly present 1228: 1090: 1019:low blood pressure 970: 902: 824: 731:A. albopictus 710: 678:structural protein 654:yellow fever virus 634: 429:Signs and symptoms 253:blood transfusions 249:intravenous fluids 118:Infectious disease 6989:Tropical diseases 6966: 6965: 6962: 6961: 6958: 6957: 6893: 6892: 6801: 6800: 6611: 6610: 6409: 6408: 6405: 6404: 6320: 6319: 6119: 6118: 5864:Rift Valley fever 5658: 5657: 5398:on 7 January 2019 5342:on 7 January 2019 5287:978-92-9061-539-2 5003:978-0-12-369408-9 4972:978-1-84816-228-0 4376:978-0-12-375147-8 4227:(7446): 504–507. 4131:10.1136/bmj.h4661 3892:978-92-4-154787-1 3760:. 26 April 2023. 3634:. 7 August 2023. 3550:Euro Surveillance 3190:978-1-118-39323-9 3075:978-1-60327-297-1 2865:on 26 August 2010 2837:978-92-4-150403-4 2774:978-1-60750-582-2 2300:978-0-12-375147-8 2243:Euro Surveillance 1714:978-1-4557-7566-8 1639:10.1136/bmj.h4661 1587:. 17 March 2023. 1262: 1261: 1023:hypovolemic shock 853:white blood cells 499:(formerly called 471:incubation period 274: 273: 190:Diagnostic method 28:Medical condition 7006: 6904: 6903: 6814: 6813: 6624: 6623: 6433: 6432: 6422: 6421: 6397:Chandipura virus 6333: 6332: 6273:Orthomyxoviridae 6132: 6131: 6079:Ross River fever 5844:Bunyamwera fever 5760: 5759: 5749: 5748: 5719: 5712: 5705: 5696: 5695: 5687: 5686: 5675: 5674: 5673: 5666: 5495: 5494: 5455: 5454: 5414: 5408: 5407: 5405: 5403: 5388: 5382: 5381: 5379: 5377: 5358: 5352: 5351: 5349: 5347: 5328: 5322: 5321: 5319: 5317: 5298: 5292: 5291: 5274: 5268: 5267: 5265: 5263: 5254:. Archived from 5248: 5237: 5236: 5226: 5194: 5185: 5184: 5174: 5134: 5128: 5127: 5117: 5099: 5075: 5069: 5068: 5058: 5033:(7): 1121–1127. 5018: 5012: 5011: 4987: 4981: 4980: 4956: 4943: 4942: 4940: 4938: 4918: 4912: 4911: 4909: 4894: 4884: 4866: 4857: 4851: 4848: 4842: 4841: 4839: 4837: 4823: 4817: 4816: 4803: 4793: 4784:(11): e0004101. 4769: 4763: 4762: 4760: 4758: 4740: 4714: 4705: 4699: 4698: 4696: 4681: 4671: 4653: 4644: 4638: 4637: 4627: 4595: 4578: 4577: 4567: 4543: 4537: 4536: 4534: 4532: 4518: 4512: 4511: 4509: 4507: 4492: 4486: 4485: 4467: 4443: 4437: 4436: 4426: 4400: 4391: 4385: 4384: 4363:"Dengue viruses" 4358: 4349: 4348: 4342: 4334: 4332: 4330: 4318: 4312: 4311: 4301: 4277: 4271: 4270: 4260: 4212: 4206: 4205: 4203: 4201: 4186: 4177: 4176: 4174: 4172: 4157: 4151: 4150: 4114: 4103: 4102: 4100: 4098: 4092: 4081: 4073: 4067: 4066: 4064: 4062: 4042: 4033: 4032: 4030: 4028: 4009: 4000: 3999: 3997: 3995: 3977: 3953: 3942: 3941: 3939: 3937: 3918: 3912: 3911: 3906: 3904: 3876: 3867: 3866: 3864: 3862: 3842: 3836: 3835: 3833: 3831: 3812: 3806: 3805: 3803: 3801: 3780: 3774: 3773: 3771: 3769: 3750: 3744: 3743: 3741: 3739: 3720: 3714: 3713: 3711: 3709: 3703: 3692: 3684: 3678: 3677: 3675: 3673: 3654: 3648: 3647: 3645: 3643: 3624: 3613: 3612: 3610: 3608: 3589: 3580: 3579: 3565: 3541: 3535: 3534: 3532: 3530: 3510: 3501: 3500: 3498: 3496: 3485:2010 Yellow Book 3476: 3470: 3469: 3459: 3427: 3418: 3417: 3415: 3413: 3394: 3388: 3387: 3385: 3383: 3364: 3358: 3357: 3347: 3329: 3305: 3299: 3298: 3288: 3270: 3246: 3237: 3236: 3234: 3232: 3213: 3207: 3206: 3204: 3202: 3166: 3155: 3154: 3144: 3142:10.3855/jidc.145 3120: 3114: 3113: 3111: 3109: 3090: 3084: 3083: 3059: 3053: 3052: 3050: 3048: 3037:2010 Yellow Book 3028: 3019: 3018: 3016: 3014: 2999: 2993: 2992: 2982: 2942: 2936: 2935: 2933: 2931: 2905: 2881: 2875: 2874: 2872: 2870: 2855: 2849: 2848: 2846: 2829: 2819: 2813: 2812: 2810: 2808: 2789: 2783: 2782: 2758: 2752: 2751: 2741: 2709: 2700: 2699: 2697: 2674: 2648: 2639: 2633: 2632: 2630: 2628: 2588: 2582: 2581: 2571: 2553: 2529: 2523: 2522: 2520: 2518: 2499: 2484: 2483: 2447: 2430: 2429: 2393: 2384: 2383: 2381: 2379: 2361: 2335: 2326: 2309: 2308: 2287:"Dengue viruses" 2282: 2273: 2272: 2258: 2234: 2225: 2224: 2206: 2188: 2179: 2168: 2167: 2165: 2163: 2144: 2138: 2137: 2101: 2095: 2094: 2084: 2052: 2046: 2045: 2043: 2041: 2022: 2016: 2015: 2013: 2011: 2005: 1990: 1982: 1976: 1975: 1973: 1971: 1952: 1943: 1942: 1940: 1938: 1929:. 13 June 2019. 1919: 1908: 1907: 1905: 1903: 1877: 1871: 1870: 1868: 1866: 1847: 1838: 1837: 1827: 1795: 1789: 1788: 1786: 1784: 1765: 1750: 1749: 1747: 1745: 1729: 1723: 1722: 1699: 1693: 1687: 1678: 1665: 1659: 1658: 1622: 1601: 1600: 1598: 1596: 1577: 1467:Public awareness 1410:break-bone fever 1350:Second World War 1288:Aedes albopictus 1255: 1254: 1238: 1237: 1223: 1217: 1211: 1205: 1199: 1193: 906:Mosquito control 845:Langerhans cells 797:insect repellent 793:mosquito netting 670:nucleotide bases 592:low birth weight 568: 552: 520:abdominal cavity 455: 441: 103: 102: 99: 98: 95: 90: 89: 86: 83: 80: 77: 74: 51: 31: 30: 7014: 7013: 7009: 7008: 7007: 7005: 7004: 7003: 6969: 6968: 6967: 6954: 6934: 6899: 6889: 6864: 6834: 6808: 6797: 6760: 6735:Paramyxoviridae 6728: 6681: 6618: 6607: 6585: 6516: 6427: 6416: 6401: 6381: 6365:Pappataci fever 6358:Oropouche virus 6353:Oropouche fever 6327: 6316: 6286: 6266: 6184: 6156:Heartland virus 6126: 6115: 6095: 6067:Pogosta disease 5995: 5942:West Nile fever 5873: 5754: 5743: 5736: 5723: 5693: 5681: 5671: 5669: 5661: 5659: 5654: 5653: 5608: 5607: 5506: 5483: 5464: 5459: 5458: 5415: 5411: 5401: 5399: 5390: 5389: 5385: 5375: 5373: 5368:. 9 June 2015. 5360: 5359: 5355: 5345: 5343: 5330: 5329: 5325: 5315: 5313: 5300: 5299: 5295: 5288: 5276: 5275: 5271: 5261: 5259: 5258:on 17 June 2015 5250: 5249: 5240: 5195: 5188: 5135: 5131: 5076: 5072: 5019: 5015: 5004: 4988: 4984: 4973: 4957: 4946: 4936: 4934: 4927:MedicineNet.com 4919: 4915: 4907: 4864: 4858: 4854: 4849: 4845: 4835: 4833: 4825: 4824: 4820: 4770: 4766: 4756: 4754: 4723:(15): 1423–32. 4712: 4706: 4702: 4694: 4651: 4645: 4641: 4596: 4581: 4544: 4540: 4530: 4528: 4520: 4519: 4515: 4505: 4503: 4494: 4493: 4489: 4444: 4440: 4409:(15): 1423–32. 4398: 4392: 4388: 4377: 4359: 4352: 4336: 4335: 4328: 4326: 4319: 4315: 4278: 4274: 4213: 4209: 4199: 4197: 4187: 4180: 4170: 4168: 4158: 4154: 4115: 4106: 4096: 4094: 4090: 4079: 4075: 4074: 4070: 4060: 4058: 4043: 4036: 4026: 4024: 4011: 4010: 4003: 3993: 3991: 3954: 3945: 3935: 3933: 3920: 3919: 3915: 3902: 3900: 3893: 3877: 3870: 3860: 3858: 3843: 3839: 3829: 3827: 3814: 3813: 3809: 3799: 3797: 3782: 3781: 3777: 3767: 3765: 3752: 3751: 3747: 3737: 3735: 3722: 3721: 3717: 3707: 3705: 3701: 3690: 3686: 3685: 3681: 3671: 3669: 3656: 3655: 3651: 3641: 3639: 3626: 3625: 3616: 3606: 3604: 3591: 3590: 3583: 3542: 3538: 3528: 3526: 3511: 3504: 3494: 3492: 3477: 3473: 3428: 3421: 3411: 3409: 3396: 3395: 3391: 3381: 3379: 3366: 3365: 3361: 3320:(3): e1011223. 3306: 3302: 3261:(3): e1011223. 3247: 3240: 3230: 3228: 3215: 3214: 3210: 3200: 3198: 3191: 3167: 3158: 3121: 3117: 3107: 3105: 3092: 3091: 3087: 3076: 3060: 3056: 3046: 3044: 3029: 3022: 3012: 3010: 3001: 3000: 2996: 2943: 2939: 2929: 2927: 2896:(9611): 500–9. 2882: 2878: 2868: 2866: 2857: 2856: 2852: 2844: 2838: 2827: 2821: 2820: 2816: 2806: 2804: 2799:. 9 June 2017. 2791: 2790: 2786: 2775: 2759: 2755: 2710: 2703: 2695: 2657:(16): 2773–86. 2646: 2640: 2636: 2626: 2624: 2589: 2585: 2544:(8): e0010724. 2530: 2526: 2516: 2514: 2501: 2500: 2487: 2448: 2433: 2394: 2387: 2377: 2375: 2344:(15): 1423–32. 2333: 2327: 2312: 2301: 2283: 2276: 2235: 2228: 2186: 2180: 2171: 2161: 2159: 2146: 2145: 2141: 2102: 2098: 2053: 2049: 2039: 2037: 2024: 2023: 2019: 2009: 2007: 2003: 1988: 1984: 1983: 1979: 1969: 1967: 1954: 1953: 1946: 1936: 1934: 1921: 1920: 1911: 1901: 1899: 1878: 1874: 1864: 1862: 1849: 1848: 1841: 1796: 1792: 1782: 1780: 1767: 1766: 1753: 1743: 1741: 1730: 1726: 1715: 1701: 1700: 1696: 1688: 1681: 1675:Wayback Machine 1666: 1662: 1623: 1604: 1594: 1592: 1579: 1578: 1537: 1532: 1515: 1507: 1505:Economic burden 1469: 1457: 1452: 1429: 1375: 1359:child mortality 1312: 1252: 1226: 1225: 1221: 1219: 1215: 1213: 1209: 1207: 1203: 1201: 1197: 1195: 1191: 1182: 1176: 1167: 1148:Supportive care 1141:naproxen sodium 1118: 1047: 1000: 959: 953: 940:organophosphate 908: 894: 889: 878:. As a result, 837: 809:body mass index 788: 764:salivary glands 721:A. aegypti 698: 664:. Dengue virus 658:West Nile virus 615: 609: 604: 596:premature birth 581: 576: 575: 574: 573: 572: 569: 561: 560: 553: 539:slow heart rate 483: 481:Clinical course 463: 462: 461: 460: 459: 456: 447: 446: 445: 442: 431: 290:, prevalent in 245:Supportive care 220:viral hepatitis 107: 92: 71: 67: 29: 24: 17: 12: 11: 5: 7012: 7002: 7001: 6996: 6991: 6986: 6981: 6964: 6963: 6960: 6959: 6956: 6955: 6953: 6952: 6946: 6944: 6936: 6935: 6933: 6932: 6927: 6926: 6925: 6914: 6912: 6901: 6895: 6894: 6891: 6890: 6888: 6887: 6882: 6876: 6874: 6866: 6865: 6863: 6862: 6857: 6852: 6846: 6844: 6836: 6835: 6833: 6832: 6824: 6822: 6811: 6803: 6802: 6799: 6798: 6796: 6795: 6794: 6793: 6788: 6778: 6772: 6770: 6762: 6761: 6759: 6758: 6757: 6756: 6751: 6740: 6738: 6730: 6729: 6727: 6726: 6721: 6720: 6719: 6714: 6709: 6704: 6693: 6691: 6683: 6682: 6680: 6679: 6678: 6677: 6672: 6662: 6661: 6660: 6655: 6650: 6645: 6634: 6632: 6621: 6613: 6612: 6609: 6608: 6606: 6605: 6597: 6595: 6587: 6586: 6584: 6583: 6582: 6581: 6576: 6566: 6565: 6564: 6559: 6554: 6549: 6544: 6539: 6528: 6526: 6518: 6517: 6515: 6514: 6509: 6504: 6503: 6502: 6494: 6493: 6492: 6482: 6481: 6480: 6470: 6469: 6468: 6460: 6459: 6458: 6443: 6441: 6430: 6419: 6411: 6410: 6407: 6406: 6403: 6402: 6400: 6399: 6393: 6391: 6383: 6382: 6380: 6379: 6374: 6373: 6372: 6362: 6361: 6360: 6350: 6343: 6341: 6330: 6322: 6321: 6318: 6317: 6315: 6314: 6309: 6308: 6307: 6298: 6296: 6288: 6287: 6285: 6284: 6278: 6276: 6268: 6267: 6265: 6264: 6263: 6262: 6254: 6253: 6252: 6247: 6239: 6238: 6237: 6225: 6224: 6223: 6213: 6212: 6211: 6196: 6194: 6186: 6185: 6183: 6182: 6173: 6168: 6158: 6153: 6142: 6140: 6129: 6121: 6120: 6117: 6116: 6114: 6113: 6107: 6105: 6097: 6096: 6094: 6093: 6088: 6087: 6086: 6076: 6075: 6074: 6064: 6063: 6062: 6054: 6053: 6052: 6042: 6041: 6040: 6032: 6031: 6030: 6022: 6021: 6020: 6007: 6005: 5997: 5996: 5994: 5993: 5992: 5991: 5981: 5980: 5979: 5969: 5968: 5967: 5952: 5951: 5950: 5949: 5939: 5938: 5937: 5929: 5928: 5927: 5919: 5918: 5917: 5912: 5902: 5901: 5900: 5885: 5883: 5875: 5874: 5872: 5871: 5870: 5869: 5861: 5860: 5859: 5851: 5850: 5849: 5836: 5835: 5830: 5829: 5828: 5820: 5819: 5818: 5810: 5805: 5804: 5803: 5795: 5794: 5793: 5785: 5784: 5783: 5770: 5768: 5757: 5746: 5738: 5737: 5729:viral diseases 5722: 5721: 5714: 5707: 5699: 5692: 5691: 5679: 5656: 5655: 5652: 5651: 5640: 5629: 5617: 5616: 5614: 5610: 5609: 5606: 5605: 5594: 5583: 5572: 5561: 5546: 5531: 5507: 5502: 5501: 5499: 5498:Classification 5492: 5491: 5463: 5462:External links 5460: 5457: 5456: 5429:(8): 935–941. 5409: 5383: 5353: 5323: 5293: 5286: 5269: 5238: 5186: 5129: 5070: 5013: 5002: 4982: 4971: 4944: 4913: 4852: 4843: 4818: 4764: 4700: 4639: 4579: 4538: 4513: 4502:. 5 March 2019 4487: 4438: 4386: 4375: 4350: 4313: 4272: 4207: 4178: 4152: 4104: 4068: 4034: 4001: 3968:(3): 146–153. 3943: 3913: 3891: 3868: 3837: 3807: 3775: 3745: 3715: 3679: 3662:www.sanofi.com 3649: 3614: 3597:www.nature.com 3581: 3536: 3502: 3471: 3419: 3389: 3359: 3314:PLOS Pathogens 3300: 3255:PLOS Pathogens 3238: 3221:www.nature.com 3208: 3189: 3156: 3115: 3085: 3074: 3054: 3020: 2994: 2937: 2876: 2850: 2836: 2814: 2784: 2773: 2753: 2701: 2634: 2583: 2524: 2485: 2431: 2385: 2310: 2299: 2274: 2226: 2169: 2139: 2096: 2047: 2017: 1977: 1960:www.unicef.org 1944: 1909: 1872: 1857:. 1 May 2023. 1839: 1790: 1751: 1724: 1713: 1694: 1679: 1660: 1602: 1534: 1533: 1531: 1528: 1527: 1526: 1521: 1514: 1511: 1506: 1503: 1468: 1465: 1456: 1455:Blood donation 1453: 1451: 1448: 1428: 1425: 1399:folk etymology 1374: 1371: 1311: 1308: 1260: 1259: 1248: 1247: 1243: 1242: 1241:External image 1220: 1214: 1208: 1202: 1196: 1190: 1189: 1175: 1172: 1166: 1163: 1127:(Paracetamol, 1117: 1114: 1046: 1043: 999: 998:Severe disease 996: 987:SAGE committee 957:Dengue vaccine 955:Main article: 952: 949: 904:Main article: 893: 892:Vector control 890: 888: 885: 836: 833: 787: 784: 776:organ donation 772:blood products 697: 694: 682:virus particle 676:for the three 640:of the family 611:Main article: 608: 605: 603: 600: 580: 577: 570: 563: 562: 554: 547: 546: 545: 544: 543: 482: 479: 457: 450: 449: 448: 443: 436: 435: 434: 433: 432: 430: 427: 410:dengue vaccine 402:, principally 378:to the virus. 281:mosquito-borne 272: 271: 268: 264: 263: 260: 256: 255: 242: 238: 237: 231: 227: 226: 209: 203: 202: 192: 186: 185: 171: 167: 166: 163: 159: 158: 155: 151: 150: 137: 131: 130: 127: 121: 120: 115: 109: 108: 106: 105: 64: 62: 58: 57: 53: 52: 44: 43: 40: 36: 35: 27: 15: 9: 6: 4: 3: 2: 7011: 7000: 6997: 6995: 6992: 6990: 6987: 6985: 6982: 6980: 6977: 6976: 6974: 6951: 6948: 6947: 6945: 6943: 6942: 6937: 6931: 6928: 6924: 6921: 6920: 6919: 6916: 6915: 6913: 6911: 6910: 6909:Rhabdoviridae 6905: 6902: 6896: 6886: 6883: 6881: 6878: 6877: 6875: 6873: 6872: 6867: 6861: 6858: 6856: 6853: 6851: 6848: 6847: 6845: 6843: 6842: 6837: 6831: 6830: 6826: 6825: 6823: 6821: 6820: 6819:Herpesviridae 6815: 6812: 6810: 6804: 6792: 6789: 6787: 6784: 6783: 6782: 6779: 6777: 6774: 6773: 6771: 6769: 6768: 6767:Coronaviridae 6763: 6755: 6752: 6750: 6747: 6746: 6745: 6742: 6741: 6739: 6737: 6736: 6731: 6725: 6722: 6718: 6715: 6713: 6710: 6708: 6705: 6703: 6700: 6699: 6698: 6695: 6694: 6692: 6690: 6689: 6688:Rhabdoviridae 6684: 6676: 6673: 6671: 6668: 6667: 6666: 6663: 6659: 6656: 6654: 6651: 6649: 6646: 6644: 6641: 6640: 6639: 6636: 6635: 6633: 6631: 6630: 6625: 6622: 6620: 6614: 6604: 6603: 6599: 6598: 6596: 6594: 6593: 6592:Herpesviridae 6588: 6580: 6577: 6575: 6572: 6571: 6570: 6567: 6563: 6560: 6558: 6555: 6553: 6550: 6548: 6545: 6543: 6540: 6538: 6535: 6534: 6533: 6530: 6529: 6527: 6525: 6524: 6519: 6513: 6510: 6508: 6505: 6500: 6499: 6498: 6495: 6491: 6488: 6487: 6486: 6483: 6479: 6476: 6475: 6474: 6471: 6466: 6465: 6464: 6461: 6457: 6454: 6453: 6452: 6448: 6445: 6444: 6442: 6440: 6439: 6434: 6431: 6429: 6423: 6420: 6418: 6412: 6398: 6395: 6394: 6392: 6390: 6389: 6388:Rhabdoviridae 6384: 6378: 6375: 6371: 6370:Toscana virus 6368: 6367: 6366: 6363: 6359: 6356: 6355: 6354: 6351: 6348: 6345: 6344: 6342: 6340: 6339: 6334: 6331: 6329: 6323: 6313: 6310: 6305: 6304: 6303: 6300: 6299: 6297: 6295: 6294: 6289: 6283: 6282:Bourbon virus 6280: 6279: 6277: 6275: 6274: 6269: 6260: 6259: 6258: 6255: 6251: 6248: 6245: 6244: 6243: 6240: 6235: 6234: 6233: 6229: 6226: 6222: 6219: 6218: 6217: 6214: 6210: 6207: 6206: 6205: 6201: 6198: 6197: 6195: 6193: 6192: 6187: 6181: 6177: 6174: 6172: 6169: 6166: 6162: 6159: 6157: 6154: 6151: 6147: 6144: 6143: 6141: 6139: 6138: 6133: 6130: 6128: 6122: 6112: 6109: 6108: 6106: 6104: 6103: 6098: 6092: 6089: 6085: 6082: 6081: 6080: 6077: 6073: 6072:Sindbis virus 6070: 6069: 6068: 6065: 6060: 6059: 6058: 6055: 6051: 6048: 6047: 6046: 6043: 6038: 6037: 6036: 6033: 6028: 6027: 6026: 6023: 6018: 6017: 6016: 6012: 6009: 6008: 6006: 6004: 6003: 5998: 5990: 5987: 5986: 5985: 5982: 5978: 5975: 5974: 5973: 5970: 5966: 5963: 5962: 5961: 5957: 5954: 5953: 5948: 5945: 5944: 5943: 5940: 5935: 5934: 5933: 5930: 5925: 5924: 5923: 5920: 5916: 5913: 5911: 5908: 5907: 5906: 5903: 5899: 5896: 5895: 5894: 5890: 5887: 5886: 5884: 5882: 5881: 5876: 5867: 5866: 5865: 5862: 5857: 5856: 5855: 5852: 5847: 5846: 5845: 5841: 5838: 5837: 5834: 5831: 5826: 5825: 5824: 5821: 5816: 5815: 5814: 5811: 5809: 5806: 5801: 5800: 5799: 5796: 5791: 5790: 5789: 5786: 5781: 5780: 5779: 5775: 5772: 5771: 5769: 5767: 5766: 5761: 5758: 5756: 5750: 5747: 5745: 5739: 5734: 5730: 5727: 5720: 5715: 5713: 5708: 5706: 5701: 5700: 5697: 5690: 5685: 5680: 5678: 5668: 5667: 5664: 5650: 5646: 5645: 5641: 5639: 5635: 5634: 5630: 5628: 5624: 5623: 5619: 5618: 5615: 5611: 5604: 5600: 5599: 5595: 5593: 5589: 5588: 5584: 5582: 5578: 5577: 5573: 5571: 5567: 5566: 5562: 5560: 5556: 5555: 5551: 5547: 5545: 5541: 5540: 5536: 5532: 5530: 5526: 5522: 5518: 5517: 5513: 5509: 5508: 5505: 5500: 5496: 5490: 5486: 5481: 5477: 5476: 5471: 5466: 5465: 5452: 5448: 5444: 5440: 5436: 5432: 5428: 5424: 5420: 5413: 5397: 5393: 5387: 5371: 5367: 5363: 5357: 5341: 5337: 5333: 5327: 5311: 5307: 5303: 5297: 5289: 5283: 5279: 5273: 5257: 5253: 5247: 5245: 5243: 5234: 5230: 5225: 5220: 5216: 5212: 5208: 5204: 5200: 5193: 5191: 5182: 5178: 5173: 5168: 5164: 5160: 5156: 5152: 5148: 5144: 5140: 5133: 5125: 5121: 5116: 5111: 5107: 5103: 5098: 5093: 5089: 5085: 5081: 5074: 5066: 5062: 5057: 5052: 5048: 5044: 5040: 5036: 5032: 5028: 5024: 5017: 5009: 5005: 4999: 4995: 4994: 4986: 4978: 4974: 4968: 4964: 4963: 4955: 4953: 4951: 4949: 4932: 4928: 4924: 4917: 4906: 4902: 4898: 4893: 4888: 4883: 4878: 4874: 4870: 4863: 4856: 4847: 4832: 4828: 4822: 4815: 4811: 4807: 4802: 4797: 4792: 4787: 4783: 4779: 4775: 4768: 4752: 4748: 4744: 4739: 4734: 4730: 4726: 4722: 4718: 4711: 4704: 4693: 4689: 4685: 4680: 4675: 4670: 4665: 4661: 4657: 4650: 4643: 4635: 4631: 4626: 4621: 4617: 4613: 4610:(3): 480–96. 4609: 4605: 4601: 4594: 4592: 4590: 4588: 4586: 4584: 4575: 4571: 4566: 4561: 4557: 4553: 4549: 4542: 4527: 4523: 4517: 4501: 4497: 4491: 4483: 4479: 4475: 4471: 4466: 4461: 4457: 4453: 4449: 4442: 4434: 4430: 4425: 4420: 4416: 4412: 4408: 4404: 4397: 4390: 4382: 4378: 4372: 4368: 4364: 4357: 4355: 4346: 4340: 4324: 4317: 4309: 4305: 4300: 4295: 4291: 4287: 4283: 4276: 4268: 4264: 4259: 4254: 4250: 4246: 4242: 4238: 4234: 4230: 4226: 4222: 4218: 4211: 4196: 4192: 4185: 4183: 4167: 4163: 4156: 4148: 4144: 4140: 4136: 4132: 4128: 4124: 4120: 4113: 4111: 4109: 4089: 4085: 4078: 4072: 4056: 4052: 4048: 4041: 4039: 4022: 4018: 4014: 4008: 4006: 3989: 3985: 3981: 3976: 3971: 3967: 3963: 3959: 3952: 3950: 3948: 3931: 3927: 3923: 3917: 3910: 3898: 3894: 3888: 3884: 3883: 3875: 3873: 3856: 3852: 3848: 3841: 3825: 3821: 3817: 3811: 3795: 3791: 3790: 3785: 3779: 3763: 3759: 3755: 3749: 3733: 3729: 3725: 3719: 3700: 3696: 3689: 3683: 3667: 3663: 3659: 3653: 3637: 3633: 3629: 3623: 3621: 3619: 3602: 3598: 3594: 3588: 3586: 3577: 3573: 3569: 3564: 3559: 3556:(10): 19509. 3555: 3551: 3547: 3540: 3524: 3520: 3516: 3509: 3507: 3490: 3486: 3482: 3475: 3467: 3463: 3458: 3453: 3449: 3445: 3442:(4): 564–81. 3441: 3437: 3433: 3426: 3424: 3407: 3403: 3399: 3393: 3377: 3373: 3369: 3363: 3355: 3351: 3346: 3341: 3337: 3333: 3328: 3323: 3319: 3315: 3311: 3304: 3296: 3292: 3287: 3282: 3278: 3274: 3269: 3264: 3260: 3256: 3252: 3245: 3243: 3226: 3222: 3218: 3212: 3196: 3192: 3186: 3182: 3178: 3174: 3173: 3165: 3163: 3161: 3152: 3148: 3143: 3138: 3134: 3130: 3126: 3119: 3103: 3099: 3095: 3089: 3081: 3077: 3071: 3067: 3066: 3058: 3042: 3038: 3034: 3027: 3025: 3008: 3004: 2998: 2990: 2986: 2981: 2976: 2972: 2968: 2964: 2960: 2956: 2952: 2948: 2941: 2925: 2921: 2917: 2913: 2909: 2904: 2899: 2895: 2891: 2887: 2880: 2864: 2860: 2854: 2843: 2839: 2833: 2826: 2825: 2818: 2802: 2798: 2794: 2788: 2780: 2776: 2770: 2766: 2765: 2757: 2749: 2745: 2740: 2735: 2731: 2727: 2723: 2719: 2715: 2708: 2706: 2694: 2690: 2686: 2682: 2678: 2673: 2668: 2664: 2660: 2656: 2652: 2645: 2638: 2622: 2618: 2614: 2610: 2606: 2603:(7): 857–65. 2602: 2598: 2594: 2587: 2579: 2575: 2570: 2565: 2561: 2557: 2552: 2547: 2543: 2539: 2535: 2528: 2512: 2508: 2504: 2498: 2496: 2494: 2492: 2490: 2481: 2477: 2473: 2469: 2465: 2461: 2458:(1): 90–100. 2457: 2453: 2446: 2444: 2442: 2440: 2438: 2436: 2427: 2423: 2419: 2415: 2411: 2407: 2404:(5): 438–44. 2403: 2399: 2392: 2390: 2373: 2369: 2365: 2360: 2355: 2351: 2347: 2343: 2339: 2332: 2325: 2323: 2321: 2319: 2317: 2315: 2306: 2302: 2296: 2292: 2288: 2281: 2279: 2270: 2266: 2262: 2257: 2252: 2249:(10): 19509. 2248: 2244: 2240: 2233: 2231: 2222: 2218: 2214: 2210: 2205: 2200: 2196: 2192: 2185: 2178: 2176: 2174: 2157: 2153: 2149: 2143: 2135: 2131: 2127: 2123: 2119: 2115: 2111: 2107: 2100: 2092: 2088: 2083: 2078: 2074: 2070: 2067:(4): 376–96. 2066: 2062: 2058: 2051: 2035: 2031: 2027: 2021: 2002: 1998: 1994: 1987: 1981: 1965: 1961: 1957: 1951: 1949: 1932: 1928: 1924: 1918: 1916: 1914: 1897: 1893: 1889: 1885: 1884: 1876: 1860: 1856: 1852: 1846: 1844: 1835: 1831: 1826: 1821: 1817: 1813: 1809: 1805: 1801: 1794: 1778: 1774: 1770: 1764: 1762: 1760: 1758: 1756: 1739: 1735: 1728: 1720: 1716: 1710: 1706: 1705: 1698: 1691: 1686: 1684: 1676: 1672: 1669: 1664: 1656: 1652: 1648: 1644: 1640: 1636: 1632: 1628: 1621: 1619: 1617: 1615: 1613: 1611: 1609: 1607: 1590: 1586: 1582: 1576: 1574: 1572: 1570: 1568: 1566: 1564: 1562: 1560: 1558: 1556: 1554: 1552: 1550: 1548: 1546: 1544: 1542: 1540: 1535: 1525: 1522: 1520: 1517: 1516: 1510: 1502: 1499: 1496: 1494: 1490: 1486: 1478: 1473: 1464: 1462: 1447: 1444: 1442: 1438: 1434: 1424: 1422: 1418: 1417:Benjamin Rush 1415: 1411: 1406: 1404: 1400: 1396: 1392: 1391:ki-dinga pepo 1388: 1384: 1380: 1370: 1366: 1362: 1360: 1356: 1351: 1347: 1342: 1340: 1336: 1332: 1328: 1324: 1323:Aedes aegypti 1319: 1317: 1307: 1304: 1302: 1298: 1292: 1290: 1289: 1284: 1280: 1276: 1275: 1274:Aedes aegypti 1269: 1267: 1258: 1249: 1244: 1239: 1236: 1233: 1186: 1181: 1171: 1162: 1160: 1156: 1151: 1149: 1144: 1142: 1138: 1134: 1130: 1126: 1125:Acetaminophen 1121: 1113: 1111: 1107: 1103: 1099: 1094: 1086: 1082: 1080: 1076: 1072: 1068: 1064: 1060: 1056: 1052: 1042: 1040: 1036: 1032: 1028: 1024: 1020: 1015: 1013: 1012:Severe dengue 1009: 1005: 995: 993: 988: 984: 980: 978: 974: 966: 962: 958: 948: 945: 941: 937: 933: 929: 925: 920: 916: 914: 907: 898: 884: 881: 877: 873: 869: 865: 861: 856: 854: 850: 846: 842: 841:keratinocytes 832: 830: 820: 816: 814: 810: 804: 802: 798: 794: 783: 781: 777: 773: 768: 765: 760: 755: 753: 749: 745: 744: 739: 738: 733: 732: 727: 723: 722: 717: 716: 707: 706:Aedes aegypti 704:The mosquito 702: 693: 691: 687: 683: 679: 675: 671: 667: 663: 659: 655: 651: 650: 645: 644: 639: 631: 627: 624: 619: 614: 599: 597: 593: 589: 585: 584:Complications 567: 559:when pressed. 558: 551: 542: 540: 536: 531: 529: 525: 521: 517: 513: 508: 506: 502: 498: 497:severe dengue 493: 491: 486: 478: 474: 472: 468: 454: 440: 426: 424: 419: 414: 411: 407: 406: 405:Aedes aegypti 401: 398: 397: 392: 387: 385: 384:intravenously 379: 377: 373: 369: 365: 361: 356: 352: 347: 345: 342:leakage, and 341: 337: 333: 329: 328:severe dengue 325: 321: 317: 313: 309: 305: 301: 297: 293: 289: 285: 282: 278: 269: 265: 261: 257: 254: 250: 246: 243: 239: 235: 232: 228: 225: 224:leptospirosis 221: 217: 213: 210: 208: 204: 201: 197: 193: 191: 187: 184: 181: 180: 175: 172: 168: 164: 160: 156: 152: 149: 145: 141: 138: 136: 135:Complications 132: 128: 126: 122: 119: 116: 114: 110: 101: 66: 65: 63: 61:Pronunciation 59: 54: 50: 45: 41: 37: 32: 26: 22: 6979:Dengue fever 6939: 6930:Mokola virus 6907: 6869: 6841:Retroviridae 6839: 6827: 6817: 6765: 6733: 6686: 6627: 6600: 6590: 6523:Bunyavirales 6521: 6438:Arenaviridae 6436: 6386: 6338:Bunyavirales 6336: 6291: 6271: 6257:Langat virus 6191:Flaviviridae 6189: 6180:Bhanja virus 6137:Bunyavirales 6135: 6100: 6000: 5972:Yellow fever 5960:Dengue fever 5959: 5880:Flaviviridae 5878: 5823:Tahyna virus 5788:Bwamba Fever 5765:Bunyavirales 5763: 5649:Dengue fever 5642: 5631: 5620: 5596: 5585: 5574: 5563: 5548: 5533: 5510: 5485:Dengue fever 5473: 5426: 5422: 5412: 5400:. 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Retrieved 1584: 1508: 1500: 1497: 1482: 1475:A poster in 1461:blood donors 1458: 1445: 1433:pathogenesis 1430: 1421:Philadelphia 1409: 1407: 1394: 1390: 1386: 1382: 1376: 1367: 1363: 1343: 1339:Philadelphia 1322: 1320: 1313: 1305: 1297:urbanization 1293: 1286: 1282: 1272: 1270: 1266:hyperendemic 1263: 1229: 1174:Epidemiology 1168: 1152: 1145: 1122: 1119: 1095: 1091: 1066: 1048: 1016: 1011: 1001: 982: 981: 972: 971: 960: 932:insecticides 923: 921: 917: 909: 880:blood volume 857: 838: 825: 805: 789: 786:Risk factors 774:and through 769: 756: 741: 735: 729: 725: 719: 713: 711: 705: 696:Transmission 690:antigenicity 647: 643:Flaviviridae 641: 635: 613:Dengue virus 582: 532: 509: 504: 500: 496: 494: 487: 484: 475: 467:asymptomatic 464: 415: 403: 394: 388: 380: 348: 340:blood plasma 327: 300:asymptomatic 288:dengue virus 277:Dengue fever 276: 275: 216:yellow fever 177: 174:Dengue virus 34:Dengue fever 25: 6629:Filoviridae 6451:Lassa fever 6347:Adria virus 6045:Chikungunya 6002:Togaviridae 5932:Usutu virus 5854:Ngari virus 5778:Batai virus 5622:MedlinePlus 5468:‹ The 4937:25 December 4017:Mayo Clinic 3861:29 February 3830:28 February 3758:www.cdc.gov 3495:23 December 3412:28 February 3382:29 February 3231:23 February 3201:23 February 3108:28 February 3047:23 December 2807:25 February 2517:25 February 2507:Mayo Clinic 2162:13 February 2040:14 February 1970:13 February 1937:14 February 1902:13 February 1865:14 February 1783:13 February 1595:10 February 1437:diagnostics 1355:Philippines 1327:slave trade 1224: 9–561 1155:dehydration 1102:NS1 antigen 1059:chikungunya 872:bone marrow 864:interferons 849:lymph nodes 594:birth, and 588:miscarriage 522:as well as 320:joint pains 296:subtropical 154:Usual onset 39:Other names 6973:Categories 6941:Poxviridae 6871:Poxviridae 6791:SARS-CoV-2 6293:Reoviridae 6171:Tete virus 6102:Reoviridae 5984:Zika fever 5833:Tete virus 5731:(A80–B34, 5644:Patient UK 5587:DiseasesDB 5090:(4): 180. 4875:(6): 893. 4662:(6): 893. 4458:: 161–73. 4325:. Medscape 3013:17 January 2957:: 100216. 2951:One Health 2627:5 December 2197:: 161–73. 1744:17 October 1530:References 1283:A. aegypti 1178:See also: 1159:hematocrit 1079:subtropics 992:attenuated 944:pyrethroid 924:A. aegypti 913:permethrin 887:Prevention 662:Zika virus 649:Flavivirus 626:micrograph 490:high fever 391:mosquitoes 376:antibodies 286:caused by 230:Prevention 196:antibodies 194:Detecting 6950:Monkeypox 5742:Arthropod 5633:eMedicine 5598:SNOMED CT 5443:1473-3099 5402:7 January 5376:7 January 5346:7 January 5316:7 January 5163:2049-9361 5106:2414-6366 5047:0022-1899 4831:Yale E360 4574:2414-6447 4482:215154729 4308:2414-6447 4249:0028-0836 4125:: h4661. 3984:0185-1063 3336:1553-7374 3277:1553-7366 2971:2352-7714 2920:205949828 2869:27 August 2560:1935-2735 2221:215154729 2134:267201333 1816:1752-8526 1633:: h4661. 1441:antiviral 1408:The term 1379:Kiswahili 1373:Etymology 1218: 4–8 1165:Prognosis 1137:ibuprofen 1116:Treatment 1051:Influenza 1045:Diagnosis 973:Dengvaxia 860:cytokines 686:serotypes 638:RNA virus 512:platelets 364:influenza 351:serotypes 324:skin rash 259:Frequency 241:Treatment 183:mosquitos 113:Specialty 6999:Zoonoses 6898:Multiple 6786:SARS-CoV 6776:MERS-CoV 5965:DENV-1-4 5753:Mosquito 5726:Zoonotic 5677:Medicine 5603:38362002 5470:template 5451:27091092 5370:Archived 5310:Archived 5233:19392949 5181:37114191 5172:10126642 5124:34698303 5065:22782946 5008:Archived 4977:Archived 4931:Archived 4905:Archived 4901:29398958 4836:20 March 4810:26562299 4751:Archived 4747:22494122 4710:"Dengue" 4692:Archived 4688:29398958 4531:17 March 4506:17 March 4474:20616106 4448:"Dengue" 4433:22494122 4396:"Dengue" 4381:Archived 4339:cite web 4267:23563266 4200:14 March 4171:17 March 4139:26374064 4097:10 March 4088:Archived 4061:10 March 4055:Archived 4051:Medscape 4027:10 March 4021:Archived 3988:Archived 3930:Archived 3897:Archived 3855:Archived 3824:Archived 3794:Archived 3762:Archived 3732:Archived 3699:Archived 3666:Archived 3636:Archived 3601:Archived 3576:Archived 3572:20403310 3523:Archived 3489:Archived 3466:19822889 3406:Archived 3376:Archived 3354:36996026 3345:10062565 3295:36996026 3286:10062565 3225:Archived 3195:Archived 3151:20130380 3102:Archived 3080:Archived 3041:Archived 2989:33598525 2924:Archived 2912:18262042 2842:Archived 2801:Archived 2779:Archived 2748:21079655 2693:Archived 2681:20372965 2672:11115823 2621:Archived 2617:26949028 2578:35981059 2511:Archived 2480:10135251 2472:20639791 2418:20581669 2372:Archived 2368:22494122 2331:"Dengue" 2305:Archived 2269:Archived 2265:20403310 2213:20616106 2184:"Dengue" 2156:Archived 2126:38280388 2034:Archived 2010:12 April 2001:Archived 1964:Archived 1931:Archived 1896:Archived 1892:28613483 1859:Archived 1834:25860404 1810:: 0917. 1777:Archived 1738:Archived 1719:Archived 1671:Archived 1647:26374064 1589:Archived 1513:See also 1477:Tampines 1427:Research 928:habitats 870:and the 752:primates 672:, which 646:; genus 607:Virology 557:blanches 355:immunity 332:bleeding 312:vomiting 308:headache 292:tropical 165:2–7 days 162:Duration 140:Bleeding 125:Symptoms 6900:vectors 6880:Tanapox 6829:B virus 6807:Primate 6326:Sandfly 6152:(CCHFV) 5733:042–079 5689:Viruses 5663:Portals 5638:med/528 5581:D003715 5472:below ( 5262:16 June 5224:2713854 5115:8544673 5056:3499110 4892:3373045 4801:4643049 4679:3373045 4634:9665979 4329:23 June 4258:3651993 4229:Bibcode 4147:1680504 3994:7 March 3936:4 March 3903:7 March 3800:8 March 3768:8 March 3738:9 March 3708:9 March 3672:8 March 3642:8 March 3607:8 March 3529:8 March 3457:2772360 2980:7868715 2739:4333201 2689:4232236 2569:9426910 2426:2452280 2091:2224837 1825:4392842 1736:. CNN. 1655:1680504 1493:Vietnam 1485:Jakarta 1331:Jakarta 1310:History 1232:endemic 1212: 3 1206: 2 1200: 1 1194: 0 1133:aspirin 1129:Tylenol 1075:tropics 1055:measles 1031:abdomen 951:Vaccine 759:viremic 630:virions 535:itching 418:endemic 393:of the 360:malaria 284:disease 212:Malaria 6918:Rabies 6860:HTLV-2 6855:HTLV-1 6809:-borne 6697:Rabies 6619:-borne 6428:-borne 6426:Rodent 6417:-borne 6415:Mammal 6349:(ADRV) 6328:-borne 6127:-borne 5755:-borne 5744:-borne 5627:001374 5570:614371 5489:Curlie 5475:Curlie 5449:  5441:  5284:  5231:  5221:  5179:  5169:  5161:  5122:  5112:  5104:  5063:  5053:  5045:  5000:  4969:  4899:  4889:  4808:  4798:  4745:  4686:  4676:  4632:  4622:  4572:  4480:  4472:  4431:  4373:  4306:  4265:  4255:  4247:  4221:Nature 4145:  4137:  3982:  3889:  3570:  3464:  3454:  3352:  3342:  3334:  3293:  3283:  3275:  3187:  3149:  3072:  2987:  2977:  2969:  2930:6 June 2918:  2910:  2890:Lancet 2834:  2771:  2746:  2736:  2687:  2679:  2669:  2615:  2576:  2566:  2558:  2478:  2470:  2424:  2416:  2366:  2297:  2263:  2219:  2211:  2132:  2124:  2106:Lancet 2089:  2082:358169 2079:  1890:  1832:  1822:  1814:  1711:  1690:dengue 1668:dengue 1653:  1645:  1489:Yangon 1395:dengue 1337:, and 1222:  1216:  1210:  1204:  1198:  1192:  1061:, and 983:Qdenga 815:(ADE). 666:genome 660:, and 537:and a 366:, and 316:muscle 267:Deaths 170:Causes 104: 6658:ZEBOV 6562:THAIV 6050:CHIKV 4908:(PDF) 4897:S2CID 4865:(PDF) 4713:(PDF) 4695:(PDF) 4684:S2CID 4652:(PDF) 4625:88892 4478:S2CID 4399:(PDF) 4143:S2CID 4091:(PDF) 4080:(PDF) 3702:(PDF) 3691:(PDF) 2916:S2CID 2845:(PDF) 2828:(PDF) 2696:(PDF) 2685:S2CID 2647:(PDF) 2476:S2CID 2422:S2CID 2334:(PDF) 2217:S2CID 2187:(PDF) 2130:S2CID 2004:(PDF) 1989:(PDF) 1651:S2CID 1403:dandy 1387:denga 1383:dinga 1381:term 1335:Cairo 1279:tanks 1098:ELISA 1067:Aedes 1037:, or 1027:lungs 868:liver 726:Aedes 715:Aedes 602:Cause 516:chest 400:genus 396:Aedes 374:, or 304:fever 279:is a 179:Aedes 6923:RABV 6724:CHPV 6712:DUVV 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Index

Dengue fever (disambiguation)
Photograph of a person's back with the skin exhibiting the characteristic rash of dengue fever
/ˈdɛŋɡi,-ɡ/
Specialty
Infectious disease
Symptoms
Complications
Bleeding
low levels of blood platelets
dangerously low blood pressure
Dengue virus
Aedes
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Diagnostic method
antibodies
RNA
Differential diagnosis
Malaria
yellow fever
viral hepatitis
leptospirosis
Dengue fever vaccine
Supportive care
intravenous fluids
blood transfusions
mosquito-borne
disease
dengue virus
tropical
subtropical

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