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The ABCs of Managing Arboviruses in the Clinical

Tracy Evans Gilbert

Tracy Denise Evans-Gilbert

MAJ SYMPOSIUM Environmental Impact on Health. A Clear and present danger

2019

Dengue, Chikungunya, and Zika have similar clinical presentations during the acute phase creating problems for appropriate case management. Cross-reaction between IgM/IgG antibodies of the dengue and Zika viruses further complicates laboratory confirmation. The ABC’s of management will guide the clinician to make an early Assessment to identify markers of potentially complicated or high risk cases, requiring urgent intervention; determine Biological laboratory markers to confirm the diagnosis and will provide an outline for the Clinical care of suspected cases . Current patient management is mostly supportive. Dengue fever management requires close monitoring and early identification of high-risk patients. Adequate fluid resuscitation is instrumental in the critical phase and should ideally be performed in experienced clinical facilities. Severe bleeding may require blood transfusion. The long-term sequelae of these diseases can cause considerable disability hence physical and rehabilitation medicine is highlighted for the arthrotropic and neurotropic impact of chikungunya and Zika viruses respectively.

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