New dengue fever classification differentiates typical and severe infections to improve patient triage and management

The spread of dengue fever is a significant problem, mostly due to increased global trade and travel. It is estimated to cause 50 million infections yearly, with outbreaks in India becoming more commonplace. Infections often occur in urban areas and spread into neighboring communities. Over the last 20 years, higher levels of dengue fever transmission have been reported, with sizeable epidemics almost every 2 to 3 years in India. In the last 10 years, 6,000 to 8,000 annual cases have been reported, with an approximate 1% fatality rate.

“Though specific therapy against dengue is not available, close monitoring and prompt symptomatic treatment greatly reduce its morbidity and mortality.”
-R.D. Kulkarni, MD, professor and head, Department of Microbiology, SDM College of Medical Sciences & Hospital, Dharwad, Karnataka

A recent article in the New England Journal of Medicine described the presentation of dengue and its management. Dengue is usually self-limited without complications, but the severe form can...

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