Fever and Throat Inflammation: Dengue Fever Concerns - Otolaryngology

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Feeling warm all over?


Hello, today I feel a bit warm all over, and I thought it might be due to the weather.
I also have a slight headache, which I attributed to not sleeping well yesterday.
In the afternoon, I went to see an ENT specialist who told me that I have a fever and throat inflammation.
He mentioned that if there was no throat inflammation, I should be concerned about dengue fever, as it can cause bone pain and pain around the eyes, but I don't have those symptoms!
Could you tell me if the rash associated with dengue fever is typically multiple spots, or can it also be just one or two spots that should be concerning? Also, I only feel warm all over; could this possibly indicate dengue fever? Although the doctor said it is related to my throat, I just want to ask for reassurance.

Xin, 10~19 year old female. Ask Date: 2010/04/19

Dr. Chen Jianzhi reply Otolaryngology


Dear Inquirer: Hello, your concern can be addressed by getting a white blood cell count and differential at the hospital, as bacterial infections typically result in elevated white blood cell and neutrophil counts.
I am curious about your current symptoms.
Sincerely, Dr.
Chien-Chih Chen, Physician at Taoyuan Hospital, Department of Health, and Lecturer at Fu Jen Catholic University.

Reply Date: 2010/04/19

More Info


Fever can be a perplexing symptom, especially when accompanied by other signs such as throat inflammation. Your concern about dengue fever is understandable, given the various symptoms associated with it. Let’s break down the situation and clarify some points regarding fever, throat inflammation, and dengue fever.

Firstly, fever is a common response of the body to infection or inflammation. It can be caused by a wide range of conditions, including viral infections, bacterial infections, autoimmune diseases, and even environmental factors. In your case, the ear, nose, and throat (ENT) specialist has indicated that your throat is inflamed, which is a likely cause of your fever. Throat inflammation, or pharyngitis, can be due to viral infections (like the common cold or flu) or bacterial infections (such as strep throat).
Now, regarding dengue fever, it is a viral infection transmitted by mosquitoes, primarily the Aedes aegypti species. The symptoms of dengue can include high fever, severe headaches, pain behind the eyes, joint and muscle pain, rash, and mild bleeding. The rash associated with dengue can vary; it may appear as small red spots or larger areas of redness and can develop several days after the onset of fever. It is important to note that not everyone with dengue will exhibit all symptoms, and some may have mild cases that do not present with the classic signs.

In your situation, the absence of specific symptoms commonly associated with dengue fever—such as severe joint and muscle pain, pain behind the eyes, and the characteristic rash—makes it less likely that you are dealing with dengue. However, the presence of fever and throat inflammation suggests that you may be experiencing a viral or bacterial infection that is more localized, such as a throat infection.

The doctor’s advice to monitor for dengue symptoms is prudent, especially if you live in or have traveled to areas where dengue is endemic. If you develop additional symptoms such as a rash, severe pain, or bleeding, it would be wise to seek medical attention promptly.
As for the rash associated with dengue, it can vary in presentation. Some individuals may develop multiple small spots, while others may have a more generalized rash. The key is to monitor for any changes in your condition. If you notice any new symptoms or if your fever persists or worsens, it is essential to follow up with your healthcare provider for further evaluation.

In summary, while your current symptoms of fever and throat inflammation are concerning, they are more likely indicative of a throat infection rather than dengue fever, especially given the absence of other hallmark symptoms. However, it is always best to stay vigilant and consult with your healthcare provider if you have any doubts or if your condition changes. Regular follow-ups and monitoring your symptoms will help ensure that any potential issues are addressed promptly.

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