28-year-old woman in Pune succumbs to dengue

PUNE: A 28-year-old woman from Karvenagar died of dengue on Monday, taking the city's dengue death toll to 14 this year, so far. Of these 14 casualties, the state's Death Audit Committee has confirmed only six till now.
Ketki Sutar developed symptoms like fever with chills, weakness and vomiting on October 31. Initially, she was admitted to a neighbourhood hospital, but was referred to Deenanath Mangeshakar Hospital on Sunday after her condition deteriorated.
"She tested positive for NS-1 Elisa dengue test during her admission to the first hospital itself," said a doctor from Deenanath Mangeshkar Hospital (DMH). Sutar succumbed to dengue shock syndrome with multi-organ failure around 8.30pm on Monday.
As many as On Thursday, 10 people tested positive for dengue in the city on Thursday. With this, the city's dengue case tally has risen to 3,101 this year, so far. "These are cases where patients were found positive for dengue IgM antibody. We have stopped taking into account people testing positive for rapid dengue antigen test called NS-1 rapid." Complications associated with dengue usually appear between the third and fifth day of the illness and doctors have advised that even after fever subsides, patient should be monitored closely for another two days. "Even after fever subsides, patient's platelet count should be monitored ," said a doctor.
"The incubation period of dengue virus may range from 3 to 14 days. Symptoms typically develop from the fourth or the seventh day of the illness or may even appear a little earlier. The complications associated with dengue fever usually appear between the third and fifth day of illness
. So if people have symptoms like nose or gum bleeding, frequent vomiting, vomiting with blood, black stool, abdominal pain and difficulty in breathing, they should immediately consult a doctor," said internal medicine expert Abhijit Joshi of the Joshi Hospital.
Dengue virus causes self-resolving dengue fever in most cases, characterized by severe body ache, retro-orbital (pain behind eye) headache and at times rash, abdominal pain and nausea.
In addition to robust systems for surveillance and response, an important part of the effort against dengue is community action. This includes participation of people to understand how to prevent the breeding of mosquitoes near their houses and the importance of early treatment.
WHO terminology
* Dengue without warning signs
* Dengue with warning signs which includes abdominal pain, persistent vomiting, mucosal bleed, increase in haematocrit (percentage of red blood cells in blood) with drop in platelet count
* Severe dengue with severe blood leakage and organ involvement.