Treatment of Dengue

There is no specific treatment for dengue. Persons with dengue fever should rest and drink plenty of fluids. They should be kept away from mosquitoes for the protection of others. Dengue hemorrhagic fever is treated by replacing lost fluids. Some patients need transfusions to control bleeding. Initial treatment of fever includes antipyretics (e.g., acetaminophen, NSAIDs). Infection should be treated with appropriate antimicrobial therapy and tailored as antibiotic sensitivities are identified. Many cases of deep-seated infection or abscess require percutaneous or surgical drainage. Fever due to malignancy will usually regress with surgical debulking, chemotherapy, and/or radiation directed at the primary tumor. Rheumatologic disorders may require NSAIDs, steroids, methotrexate, hydroxychloroquine, or other cytotoxic agents.Dantrolene for malignant hypothermia.

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