Typical Course of a Dengue Infection









What is the typical course of dengue?

In the chart below, from Day 1 to Day 10, the course of a dengue infection is illustrated.

This chart is the typical course of dengue prepared by medical experts (contributed to Wikipedia)

However, the observations below are our own observations.

Warning: These are our non-medical professional observations. Do not believe what we say here.

-The stages of dengue infection is divided into three stages: 
Febrile Stage (fever) Day 1 to Day 3; 
Critical Stage (Day 4 to Day 6); 
Recovery Stage (Day 7 to Day 10).

- In the Febrile stage, the issue is Fever and Dehydration,

- In the Critical Stage, the issues are Dengue Shock, bleeding, organ impairment.

- In the Recovery Stage, the issues are Reabsorption and Fluid Overload

- During the first three days, the fever is high but lowers down. What does this mean? Dengue is not really a "fever illness" but a "low platelet and internal bleeding" illness.

- Thus, the use of fever-lowering medicines (anti-pyretics) are not critical. What is critical is the platelet generation and the anti-bleeding management.

- When the fever is down, that when dengue is dangerous (Day 3 to Day 6).

- When the fever is down, the platelet is also down (Day 3 to Day 6).

- From Day 1 to Day 3, while the temperature is high, the platelet count is also high. This is a "high-fever high-platelet" situation

- Yet, at this stage, the test for dengue might yield a negative result. This is the reason why dengue is usually misdiagnosed as some other illness like "viral infection," "UTI" or "throat infection."

- From Day 1 to Day 2, viraemia peaks. From Day 2 to Day 3 it goes down.

- The platelet starts going down on the Day 3 and reached critical low on Day 4 to Day 6.

- After Day 6, the patient's platelet starts to go up. 

- (However, there is great chance that the patient will need a platelet transfusion on Day 4,5,or 6. Or the patient might die due to severe dengue shock and bleeding)

- The hematocrit is normal from Day 1 to Day 3 but reaches a high level on the critical days (Day 4,5, and 6).

- The IgG and IgM only starts to rise starting Day 4. What does this mean? Since IgG and IgM are used for testing the presence of dengue, these are late indicators. Meaning, at the time when the dengue virus is at its most dangerous stage, that's is only the time we can test for the presence of dengue. Meaning, too late. 

- This also means that the test of dengue at the earliest days (Day 1 to Day 3) will yield a negative if the IgG and IgM are used as determinants.


Is ADSX the best way to manage a dengue infection?

In the end, having known the typical course of a dengue infection, what is the best way to manage dengue?

Do not take our word for it but why not try ADSX Solution as evidenced by the case histories?
















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