Dengue or Chikungunya Fever
Dengue fever, also known as breakbone fever, is a mosquito-borne tropical disease caused by the dengue virus. Symptoms include fever, headache, muscle and joint pains, and a characteristic skin rash that is similar to measles. In the last few years Dengue has been spreading in north india during the rainy season of July - November. In the year 2016 there are more cases of Chikungunya than Dengue.
A large number of patients report to the hospital with fever and dengue like symptoms. The platelet level for such patients need to be monitored at a regular interval and if the platelets fall to levels of 10-15 thousand then platelet transfusion might be needed.
Treatment for Dengue or Chikungunya
Dengue is a viral infection transmitted by the bite of an infected female Aedes mosquito. There are four distinct serotypes of the dengue virus (DEN 1, DEN 2, DEN 3 and DEN 4). Symptoms appear in 3–14 days (average 4–7 days) after the infective bite. Dengue fever is a flu-like illness that affects infants, young children and adults.
The doctors Dr Suresh Vatsyayann & Dr Kuldeep Kumar would keep a close watch on the fever pattern and the platelet count. You will have to get the CBC test done several times which costs Rs. 300 for each test. If the platelets fall below 20-30 thousand you might have to be admitted to the hospital under the care of a physician. The physician has to decide the level at which platelet transfusion might have to be done.
Small packs of platelets are available at the blood bank which costs Rs. 1000-1500 per pack but Mega packs are more effective which costs Rs. 12000-15000. You would require a donor to get a Mega pack of platelets. Dengue may become fatal when it is haemorrhagic in nature.
The treatment for Chikungunya is done with antibiotics, fever medication and keeping the patient hydrated. The patients may suffer severe joint pain for periods upto 3 months from the onset of the infection
Treatments for malaria and Typhoid
If left untreated, malaria can be fatal. Although many strides have been made, a vaccine for the disease is still yet to be found. However, the disease can be treated. The object of treatments is to eliminate the Plasmodium parasite from the patient's bloodstream. By doing so, the risk of disease transmission is reduced.
Diagnosis is made by any blood, bone marrow or stool cultures and with the Widal test
The rediscovery of oral rehydration therapy in the 1960s provided a simple way to prevent many of the deaths of diarrheal diseases in general.
Typhoid fever, when properly treated, is not fatal in most cases. Antibiotics have been commonly used to treat typhoid fever.