Impression, dengue fever can be trivial, but it also can be deadly. Better not take the risk, "said Bain who was hospitalized five days in a hospital. So feel fever, without thinking, Bain who had three times the infestation of dengue hemorrhagic fever were checked by a doctor. Its main concern, dengue fever.
Lunge kick dengue fever increasingly alarming. Disease that one is not picky about the victims and not just attacking the children alone, as previously known.
Malignancies was not separated from the action of dengue virus in the blood. Dengue comes from the Swahili language, ki pepo premises, or a sudden attack of seizures caused by evil spirits. In Spanish later called dengue. Transmitted diseases Aedes aegypti mosquito that became endemic in Indonesia in 1968.
Medical specialist in internal medicine from RS Karya Bhakti, Bogor, Adi Teruna Effendi, said that dengue fever caused by dengue virus (VDEN). However, the dynamics of dengue virus infection often causes diverse clinical picture, such as dengue fever (DF), dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS). Dengue virus is able to reproduce themselves, giving rise to a further spread of infection determine the development direction.
The presence of virus in the blood trigger the immune system characterized by acute fever. "It's just that, sometimes the fever was not perceived as central to travel, busy, or tired," said Adi.
In addition, the solution will release the dengue virus non-structural proteins that will encourage replication of the virus even further. Conditions that cause elevated permeability of the blood vessel walls and can cause leaks.
A pediatrician from the Division of Infectious and Tropical Diseases Department of Child Health, Faculty of medicine / RSCM, Alan Roland Tumbelaka, adding, increased hematocrit become one of the marker will be the threat of leakage of plasma that can lead to shock and dangerous. "Compared with the platelets, hematocrit values far more important in determining the severity of a case of dengue hemorrhagic fever," he said.
The occurrence of shock depends on the type of dengue virus type (known as serotypes) that enter the body of a child. There are four serotypes, namely Dengue 1, Dengue 2, Dengue 3, Dengue 4. Virus crime rates also play a role. "The immune response of each patient participated also determine the occurrence of shock or not," said Alan.
Differences
Alan explained that the leakage of plasma (plasma leakage) distinguishes between dengue hemorrhagic fever (DHF) and dengue fever. Plasma leakage in DHF occurs because the plasma discharge of blood from a person's blood vessels to the tissue outside the blood vessels. Leak leaves solids in the blood or blood cells characterized by levels of hematocrit (blood viscosity) increases. Plasma leakage that is usually on the day-to-3 until to-4 that can be recognized by the hematocrit (Ht).
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