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Persistent Shock With Hemorrhagic Complications 

Persistent Shock With Hemorrhagic Complications
Chapter:
Persistent Shock With Hemorrhagic Complications
Author(s):

Sangita Trivedi

, Rahul Kashyap

, and Michael E. Nemergut

DOI:
10.1093/med/9780190464813.003.0031
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date: 13 October 2019

The dengue virus is transmitted to humans by mosquitoes in the genus Aedes. Patients with dengue viral infection present with a spectrum of illness ranging from asymptomatic to fatal. The severe form, dengue shock syndrome, is primarily a disease of infants and children and is characterized by shock, multiorgan system dysfunction, and bleeding. The disease is endemic in Puerto Rico, where the most recent islandwide epidemic occurred in 2007, when more than 10,000 cases were diagnosed.

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