Dengue fever

Dengue fever (DF), caused by dengue virus, is an arboviral disease characterized by an initial non-specific febrile illness that can sometimes progress to more severe forms manifesting capillary leakage and hemorrhage (dengue hemorrhagic fever, or DHF) and shock (dengue shock syndrome, or DSS).

Epistaxis

Epistaxis, or nosebleed, refers to a hemorrhage localized in the nose.


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PMID (PMCID)
15880238
 MALE Adult
Dengue hemorrhagic fever and acute hepatitis: a case report.
Mourao MP, Lacerda MV, Bastos Mde S, Albuquerque BC, Alecrim WD.
Braz J Infect Dis. 2004;8(6):461-4.
The initial picture of classical dengue fever was followed by painful liver enlargement, vomiting, hematemesis, epistaxis and diarrhea.