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Misdiagnosing H1N1 for Dengue and hand-foot-mouth

Commonground

Senior Moderator
The risk of an outbreak of dengue
07:30, 13/04/2010 (GMT +7)

excerpt:

Evolution of complex diseases
According to the Department of Preventive Medicine and Environment - Ministry of Health, not only increased in quantity, SXH service this year show a complex, with more severe cases, pathogenic strains are also more dangerous every year.

This year, the number of patients with severe dengue expression increased more, there are cases of patients hospitalized in a state of shock, blood pressure was not measured, not by the circuit. Even the patients in the hospital in a state of circulatory stop ...

According to the doctors, apart from the vagaries of weather, cause the patient's subjective (self-treatment at home by SXH little knowledge SXH), late diagnosis, the number of severe cases and the percentage increase high mortality is partly due to viruses with type D1, type causes severe and acute SXH.

SXH special point of this year with type of patient platelets rapidly up and down, someone when to the hospital only 4-5 platelets / ml blood, intravenous fluids, if not immediately, will die. It is remarkable again, this year with type virus show less bleeding tooth, but many gastrointestinal hemorrhage, complications quickly and on Thursday from 5-7 adults and children from 3-4 on Thursday.

Translated by year SXH, hand-foot-mouth, influenza A/H1N1 overlap simultaneously. All three of these patients have initial symptoms are fever, it is difficult to distinguish be sick SXH or hand-foot-mouth or influenza A/H1N1. Indeed there have been cases of suspected hand-foot-mouth to hospital but later track is SXH. There are cases initially suspected SXH but is influenza A/H1N1.

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