Severe dengue fever symptoms can seriously affect and threaten human life. At this time, emergency intervention and hospitalization are needed to monitor health. So what are the symptoms of severe dengue fever? And how to prevent dengue fever.
Learn about severe dengue fever in humans. Severe cases can lead to dengue shock, such as internal bleeding, and even death. Furthermore, infection with different serotypes of the virus will increase the risk of developing severe dengue fever.
On average, about 1 in 4 people is infected with dengue virus and has symptoms similar to other viral infections. However, according to statistics based on the average number per capita, for every 20 people infected with dengue fever, 1 patient will have warning signs. Typically, these cases often progress to severe dengue symptoms and pose a threat to the patient’s life within just a few hours. Therefore, at this time the patient will be required to be hospitalized for timely treatment.
However, the patient is more likely to have severe dengue fever depending on the type of virus the patient is suffering from (Dengue hemorrhagic fever is more severe than Dengue -2 compared to the other types). In particular, dengue fever in infants, pregnant women, and elderly people with medical conditions are often groups at high risk of severe dengue fever.

Such symptoms of severe dengue fever Which?
Dengue is a quite serious disease that affects infants, children and adults. If not treated promptly, it will lead to death. Furthermore, suspicious signs of dengue fever are usually high fever of about 39 – 40 degrees Celsius accompanied by the following symptoms: headache, pain behind the eyes, muscle and joint pain, nausea, swollen glands and rash. These symptoms usually last from 2 to 7 days and the incubation period is from 4 to 10 days after the mosquito attacks.
Therefore, the dengue fever warning period will begin 3-7 days after the onset of the disease. If you or your family members have any of the following symptoms, you need to go to the nearest facility for timely treatment and monitoring:
- Severe stomach pain or muscle pain;
- Continuous vomiting (at least 3 times within 1 hour);
- Nosebleeds or bleeding gums;
- Vomiting blood or having blood in the stool;
- Rapid breathing and feeling of difficulty breathing;
- Feeling tired, struggling, often sleeping rough and delirious.
However, when there are signs of dengue fever, the first thing you need to do is monitor your health at home and go see a doctor. Because currently, there is no preventive vaccine and no specific treatment for dengue fever.
3 wrong harmful effects that make dengue fever worse
Common mistakes will make the patient worse and unable to receive timely treatment.
Mistake 1: Subjectively not going to the doctor
Dengue is divided into 3 levels of disease: mild, warning signs and severe. Normally, mild cases can be prescribed for home monitoring, but the patient needs to be examined to diagnose and monitor the progression of the disease. Because mild dengue fever can turn severe.
Severe dengue fever can cause serious complications such as internal bleeding, brain damage,… even death if not detected in time. If you are prescribed by your doctor to stay at home, you need to have regular check-ups and hospitalization when you have the following signs:
- Tired and uncomfortable even though there are signs of fever reducing;
- Extreme vomiting;
- Severe stomach pain;
- Signs of fatigue
- Hemorrhage from nose, mouth,..

Mistake 2: Subjectively no fever means you are cured
In fact, the fever stage high is the most dangerous stage of the disease,After about 2 – 7 days, most patients have no fever and feel uncomfortable, but the disease needs to be controlled. Because at this stage, the Dengue virus has weakened the immune system.
The most obvious symptoms are: subcutaneous bleeding, nosebleeds, etc. Depending on the severity of the disease, it can lead to internal bleeding, pleural effusion, etc. even death. Moreover, this is the stage that needs to be closely monitored by doctors.
Mistake 3: Only getting the disease once
Dengue hemorrhagic fever caused by the Dengue virus includes 4 types, respectively denoted D1, D2, D3, D4. All four types of these types are capable of causing disease in Vietnam and alternately cause epidemics. Immunity is formed after the disease has occurred and is only specific to each individual type. Therefore, it is roughly understood that: A person can get dengue fever 4 times in his life with 4 different types of viruses.
Methods of diagnosing dengue fever
Signs of dengue fever are easily confused with typhus fever. Therefore, to diagnose the disease accurately, it is not only based on signs but also requires testing and diagnostic imaging.
Through testing samples
Normally, patients with fever Hemorrhage will have a decrease in leukocytes and platelets below 100,000/mm3, and red blood cell volume increases by more than 20%.
- NS1 test: With this test, doctors can diagnose the disease early from the first day when there are signs of fever. Tests are usually ordered from day 1 to day 3 since signs of illness appear.
- IgM/IgG antibody test: This test is usually ordered from day 6. From there, the doctor can determine whether the patient can fight the virus in the acute phase or not.
- Liver function, kidney function tests, and electrolytes to assess the severity of the disease.

Diagnosis through images
Depending on each patient’s specific case, The doctor will require additional diagnostic imaging steps to provide accurate results:
– Abdominal ultrasound;
– Cardiopulmonary X-ray: This is a method to assess the severity of the disease.sick. At the same time, check whether the patient has pleural effusion or not.
Severe dengue fever is a condition that requires immediate medical attention or hospitalization for observation. However, there is no specific way for dengue fever in general and dengue fever signs in particular. Furthermore, monitoring the period of dengue shock from 24 to 48 hours is very important, as it can be life-threatening or even fatal. Therefore, don’t be subjective about your health!
Kim Dung


