Ascites and Pleural Effusion not seen. Liver usually not enlarged. Ascites and pleural effusion seen. Liver enlargement seen in 1-2 days. The Aedes mosquito spreads the dengue virus.
Children usually have a milder disease than adults.
DSS or Dengue Shock Syndrome shows all the signs and symptoms of DHF with cold clammy skin, weak and rapid pulse, hypotension and narrow pulse pressure. There is no specific drug or vaccine available that acts against the Dengue virus. Sponge for fever. Paracetamol for pain and fever. Rapid intravenous replacement of fluids and electrolytes to sustain patient till recovery occurs.