AN EPIDEMIOLOGICAL REVIEW OF DENGUE IN PAKISTAN

Fatima Shaukat
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Abstract

Dengue fever is a viral infection, transmitted by female Aedes Aegypti Mosquito, found in tropical and subtropical climates of the world. Virus has serotype DENV-1 to DENV-4. While the major syndromes include; DSS (Dengue Shock Syndrome), febrile flu-like illness, DHF (Dengue Hemorrhagic Fever), arthralgia, rash, raised ALT/ and AST, hemoconcentration and thrombocytopenia [1]. The second dengue episode is most dangerous and present abrupt onset of sever syndromes. The antigen antibody complexes lead to the cascade of immune reactions and activation of complement system the patient with pre-existing actively or passively acquired immunity to heterologous dengue virus serotype [2]. That makes about 25% mortality of patient if left untreated. It may become fatal in immunocompromised, blood cells deprived and old aged persons. It may also be seriously aggravated in tumor, malarial, blood and heart patients taking antineoplastic, anticoagulants and bone morrow suppressive drugs
巴基斯坦登革热流行病学综述
登革热是一种病毒感染,由世界热带和亚热带气候中发现的雌性埃及伊蚊传播。病毒有血清型DENV-1到DENV-4。主要症状包括:登革休克综合征(DSS),发热性流感样疾病,登革出血热(DHF),关节痛,皮疹,ALT/和AST升高,血液浓缩和血小板减少症。第二次登革热发作是最危险的,呈现严重综合征的突然发作。抗原抗体复合物导致免疫反应级联和补体系统的激活,患者对异源登革热病毒血清型[2]已有主动或被动获得性免疫。如果不及时治疗,病人的死亡率约为25%。在免疫功能低下、血细胞缺乏和老年人中可能是致命的。在肿瘤、疟疾、血液和心脏患者服用抗肿瘤、抗凝血剂和骨抑制药物时也可严重加重
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