4 results
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
Biphasic Illness ... -14 days): • Fever ... rash • Others: nausea ... renal + hepatic dysfunction ... hemorrhage • ARDS • Shock
SEPSIS AND SEPTIC SHOCK

DEFINITION AND PATHOPHYSIOLOGY
 • Sepsis: Life-threatening organ dysfunction due to a dysregulated host
• 49 million cases ... COMMON CAUSES + ... immunosuppression, chronic illness ... • Symptoms: Fever ... all suspected cases
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... days and presents fever ... Leukopenia • Cases ... acute febrile illness ... Shock evidenced
Fever After International Travel

Infectious Disease:
• Endemic in either the destination or home region

Viral Syndromes:
Arboviral infections, a
levels; dengue shock ... thrombocytopenia, and renal dysfunction ... African tick typhus (caused ... - Another cause ... falciparum: Most cases