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The exanthem of dengue fever: Clinical features of two US tourists traveling abroad
- Source :
- Journal of the American Academy of Dermatology. 58:308-316
- Publication Year :
- 2008
- Publisher :
- Elsevier BV, 2008.
-
Abstract
- Background Dengue fever is the most common identifiable cause of acute febrile illness among travelers returning from South America, South Central Asia, Southeast Asia, and the Caribbean. Although the characteristic exanthem of dengue fever occurs in up to 50% of patients, few descriptions of it are found in the dermatology literature, and discussions of how to distinguish the dengue exanthem from other infectious disease entities are rare. Chikungunya fever is an emerging infectious disease now seen in returning US tourists and should be considered in the differential diagnosis of dengue fever in the appropriate patient. Objective The purpose of our study was to report two cases of dengue fever among returning US tourists, provide a review of dengue fever, offer an extensive differential diagnosis of dengue fever, and raise awareness among dermatologists of chikungunya fever. Methods This study includes clinical findings of two returning travelers, one who traveled to Mexico and the other to Thailand, complemented by a discussion of both dengue fever and its differential diagnosis. Limitations Limited to 2 case reports. Conclusion Dengue fever should be considered in the differential diagnosis of fever and rash in the returning traveler. Dermatologists should be aware of the distinctive exanthem of dengue fever. Recognition of the dengue fever rash permits a rapid and early diagnosis, which is critical, as dengue fever can progress to life-threatening dengue hemorrhagic fever or dengue shock syndrome.
- Subjects :
- Adult
Pediatrics
medicine.medical_specialty
Dengue hemorrhagic fever
Dermatology
Article
Dengue fever
Dengue
Diagnosis, Differential
medicine
Humans
Mexico
Exanthem
Travel
Alphavirus Infections
business.industry
Febrile illness
Thailand
medicine.disease
Rash
Infectious disease (medical specialty)
Immunology
Emerging infectious disease
Female
Viral disease
medicine.symptom
business
Chikungunya virus
Subjects
Details
- ISSN :
- 01909622
- Volume :
- 58
- Database :
- OpenAIRE
- Journal :
- Journal of the American Academy of Dermatology
- Accession number :
- edsair.doi.dedup.....8cbb44b01be26c5fa5d57b315cce2403