2022 Dengue EXPANDED.pptx
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The document discusses Expanded Dengue Syndrome (EDS), which was defined by the WHO in 2011 as unusual manifestations of dengue infection involving severe dysfunction of single or multiple organs like the liver, kidneys, brain or heart. EDS was not defined in 2009. The document notes that EDS involves conditions beyond dengue fever or hemorrhagic fever, and can be associated with underlying host conditions, co-infections, or profound shock. EDS includes dengue liver failure, acute respiratory distress syndrome, multiple organ dysfunction syndrome, hemophagocytic lymphohistiocytosis, encephalitis, and acute kidney injury. Treatment for EDS is organ-specific supportive care.
2022 Dengue EXPANDED.pptx
- 2. Medicine & Science is advancing…………….. Diseases / Bugs are also advancing.
- 3. Evolution is bound to happen…. Doctor Disease The bugs will change and we need to change too Survival of the fittest
- 5. 2009 EDS was not defined in 2009 also
- 6. Dengue Fever - Classification EDS Defined in 2011
- 7. Dengue Fever - Classification
- 8. 1997 -2009 : WHO : No mention of EDS
- 9. 2011 : WHO : EDS is defined
- 10. India 2014
- 11. EDS Definition : WHO “Unusual manifestations of patients with severe organ (single / multiple organ) involvement such as liver, kidneys, brain or heart associated with dengue infection”(WHO 2011), which are not usually explained by dengue fever or dengue hemorrhagic fever”. They could be associated with underlying host conditions (Infants, DM etc) or co-infections (Malaria, typhoid etc) or as a complication of profound shock. Kadam DB, Salvi S, Chandanwale A. Expanded Dengue. J Assoc Physicians India. 2016 Jul;64(7):59-63. Umakanth M, Suganthan N. Unusual manifestations of dengue fever: a review on expanded dengue syndrome. Cureus 2020;12:e10678
- 14. Dengue Expanded Syndrome is Under recognized & Under reported
- 15. Expanded Dengue Syndrome is not about fluids But about severe organ dysfunction Including Dengue Liver Failure Dengue ARDS Dengue MODS Including Dengue HLH Dengue Encephalitis Dengue AKI
- 16. Dengue Expanded Syndrome Treatment is Organ specific & Organ supportive
- 17. Name Dr Maninder Singh Dhaliwal Qualification MD Paeds, DAA, Fellowship Ped Critical Care 2010 Designation Senior Consultant PICU & Ped Pulmonology Institution Amrita Hospital, Faridabad Thank You Lets Win Against Dengue
Editor's Notes
- #9: the classifi cation into levels of severity has a high potential for being of practical use in the clinicians’ decision as to where and how intensively the patient should be observed and treated (i.e. triage, which is particularly useful in outbreaks), in more consistent reporting in the national and international surveillance system, and as an end-point measure in dengue vaccine and drug trials.
- #10: the classifi cation into levels of severity has a high potential for being of practical use in the clinicians’ decision as to where and how intensively the patient should be observed and treated (i.e. triage, which is particularly useful in outbreaks), in more consistent reporting in the national and international surveillance system, and as an end-point measure in dengue vaccine and drug trials.