the aedes aegypti is currently involved in the transmission of dengue virus and chikungunya zika in our country, present in urban areas and some rural below 2200 meters above sea level. symptoms last from 2 to 7 days conjunctivitis include fever headache muscle and joint aches outbreak inflammation in the lower limbs and less frequently behind the eyes appetite vomiting diarrhea and abdominal pain. severe clinical manifestations are rare and include alterations to meningoencephalitis and neurological level guillen sweep syndrome and thrombocytopenic antimony level. there is a temporal spatial relationship of zika with the presentation of congenital malformations type microcephaly so should intensify efforts to arrest and make the
notification of pregnant women with suspected or confirmed disease zika. in the country circulate the 4 dengue serotypes simultaneously and do not confer immunity san cross the four serotypes capable of producing disease to humans, there is increased circulation decreased serotype 1 and serotype 3. the initial symptoms 5 to 8 days after the bite of high mosquito fever sudden weeklong with severe headache pain around the eyes and behind the eyeballs fatigue and joint muscle aches to three days of fever appears generalized rash reddish lasting 2 to three days in the neck and chest. to reduce fever a second outbreak lasting from one to five days and disappears
with peeling skin after the disappearance of symptoms persists fatigue and depression for many weeks dengue has a mortality of 1% and hemorrhagic with treating appears 2 to 5% without treatment to 50% of cases. the severe dengue manifested by bleeding bleeding bleeding gums as gastrointestinal bleeding of urine that are characteristic pt or red blood cell output dare wall due to increased permeability of the capillaries. severe dengue begins with abdominal pain persistent vomiting and rapid breathing untreated shok evolves with decreased blood pressure and is characterized by decreased blood fluids and sometimes death.
the incubation period is between one and twelve days hard viremia of 5 to 6 days after the onset of fever other forms of disease transmission can occur through blood transfusions or its derivatives i transmission from mother to child particularly during the last week of gestation. clinical signs are fever, severe joint pain or arthritis acute onset picture auto lasting approximately ten days which evolves improvement although in some cases may persist for weeks or months other macular rash symptoms polyarthritis pain dorsal headache asthenia dynamics vomiting and diarrhea. subacute presentation of the disease can be observed 60 to 90 days after the initial
clinical picture frame with a rheumatic joint pain tenosynovitis peripheral vascular disorders transient weakness and fatigue in extreme cases reach depression. the chronic phase is set when symptoms persist for more than 3 months to twelve months or more with some inflammatory symptoms of persistent fatigue and depression polyarthralgia pneumonia complications include myocarditis hepatitis renal failure ocular or neurological disorders.
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