What are the signs and symptoms of dengue?

Updated: May 03, 2019
  • Author: Darvin Scott Smith, MD, MSc, DTM&H; Chief Editor: Michael Stuart Bronze, MD  more...
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Accompanying symptoms in patients with dengue may include any of the following:

  • Fever
  • Headache
  • Retro-orbital pain
  • Severe myalgias: Especially of the lower back, arms, and legs
  • Arthralgias: Usually of the knees and shoulders
  • Nausea and vomiting (diarrhea is rare)
  • Rash: A maculopapular or macular confluent rash over the face, thorax, and flexor surfaces, with islands of skin sparing
  • Weakness, malaise, and lethargy
  • Altered taste sensation
  • Anorexia
  • Sore throat
  • Mild hemorrhagic manifestations (eg, petechiae, bleeding gums, epistaxis, menorrhagia, hematuria)
  • Lymphadenopathy

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