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Kroidl, Inge (2017): Reiserückkehrer mit Denguefieber: Diagnostik und Therapieoptionen. In: Flugmedizin Tropenmedizin Reisemedizin, Bd. 24, Nr. 6: S. 279-283

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Abstract

Dengue should be suspected in travelers with diverse symptomsstarting 3-14 days after returning from endemic countries. Symptoms, which might not seem to be typically for the disease, like ocular involvement or encephalopathy can occur, in contrast to other symptoms, considered typical for the disease, like petechial rash, which might be less often visible and can be seen in other viral diseases. The increased capillary leakage during the critical phase of the infection leads to abdominal pain, tenderness and persistent vomiting. Organ involvement with thickening of the mucosa, hepatomegaly, ascites and pleural effusion are typical for the critical phase of the dengue infection, but can be confused with other diseases. Early detection and access to proper medical care can lower fatality rates of severe Dengue infections substantially. Severe Dengue infection is rare in tourists, but more often reported from endemic countries were severe infections occur predominately in children.

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