Dengue Fever

Topic Overview

What is dengue fever?

Dengue (say "DEN-gay") fever is a disease caused by a virus that is carried by mosquitos. Mild cases cause a rash and flu-like symptoms. Some people, especially children, can get more serious forms of the illness, known as dengue hemorrhagic fever and dengue shock syndrome.

What causes dengue fever?

Dengue fever is spread through the bite of mosquitoes that carry the virus. The virus cannot spread from person to person through casual contact. People who have dengue fever should be protected from mosquito bites. If a mosquito bites an infected person, the mosquito becomes infected with the virus and can pass it to other people.

Outbreaks are common in many countries in Latin America and Southeast Asia. The disease also occurs in Africa, parts of the Middle East, the Western Pacific, Puerto Rico, and other tropical and subtropical areas.^{footnote 1} Travelers visiting these regions may become infected.

Dengue fever is rare in the continental United States. But there have been cases of dengue fever reported in Florida and areas of the southwestern U.S., especially along the border between Texas and Mexico.^{footnote 2, footnote 3}

What are the symptoms?

Symptoms of dengue fever may be mild or severe. In mild cases, common symptoms include:

• A sudden high fever, up to 106°F (41°C).
• A headache.
• Eye pain.
• Joint and muscle pain.
• A rash.
• Nausea, vomiting, and loss of appetite.

The fever usually lasts up to a week and may come and go.

After the initial fever, some people may have more serious symptoms that may be signs of dengue hemorrhagic fever. These can include:

• Signs of bleeding, such as:
  • Red patches that may look like bruises or tiny red spots.
  • Bleeding from the nose, mouth, or gums.
  • Vomiting blood.
  • Stools that look like black tar.
• Severe belly pain.
• Signs of shock.

If you have symptoms of dengue fever, see your doctor or go to the hospital right away.

How is dengue fever diagnosed?

Your doctor will ask about your symptoms and any recent travel. He or she may order a blood test to confirm whether you have dengue fever.

How is it treated?

There is no medicine for treating dengue fever. Mild cases may be treated at home with rest and plenty of fluids to prevent dehydration. You may take acetaminophen (Tylenol) for pain. But don't take anti-inflammatory medicines like aspirin, ibuprofen (such as Advil or Motrin), or naproxen (such as Aleve). They may increase the risk of bleeding. Be safe with medicines. Read and follow all instructions on the label. People with mild cases of dengue fever usually feel better within 2 weeks.

Dengue hemorrhagic fever, the more serious form of dengue fever, usually requires treatment in a hospital. You may need intravenous (IV) fluids to treat dehydration. You also may need a blood transfusion to replace lost blood. You will be closely watched for signs of shock.

How can you prevent dengue fever?

There is no vaccine to prevent dengue fever. And people who have had it before can get it again. If you plan to travel to an area where dengue fever is common, make sure to protect yourself against mosquito bites. Here are some guidelines:

• Wear protective clothing (long pants and long-sleeved shirts).
• Use insect repellent with DEET (N,N diethylmetatoluamide). The repellent is available in varying strengths up to 100%. The American Academy of Pediatrics (AAP) and other experts suggest that it is safe to use a repellent that contains 10% to 30% DEET on children older than age 2 months.
• Spray clothing with an insect repellent containing permethrin or DEET, because mosquitoes may bite through thin clothing. (Be aware that DEET can damage plastic items, such as watch crystals or eyeglass frames, and some synthetic fabrics.)
• Sleep under bed nets (mosquito netting) sprayed with or soaked in an insecticide such as permethrin or deltamethrin.
• Use flying-insect spray indoors around sleeping areas.

The most current information about dengue fever is available from the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO). If you are planning international travel, you can learn about the risk of dengue fever in the area you're traveling to by contacting:

• The CDC at its toll-free phone number (1-800-232-4636) or website (www.cdc.gov/dengue).
• Your doctor or local health department.