A 28-year-old traveller returns from Bali with fever, retro-orbital pain, myalgia and rash. Platelets are 82 x10^9/L, haematocrit is rising and

Question

A 28-year-old traveller returns from Bali with fever, retro-orbital pain, myalgia and rash. Platelets are 82 x10^9/L, haematocrit is rising and dengue NS1 antigen is positive. He is haemodynamically stable and has no bleeding. What is the most appropriate management?

Accepted Answer

Supportive care with careful fluid assessment and avoidance of NSAIDs

Answer

High-dose corticosteroids for thrombocytopenia

Answer

Immediate ceftriaxone as definitive therapy

Answer

Aspirin for fever and myalgia

Answer

Empirical heparin because platelets are falling

Dengue fever — RACP Adult Medicine MCQ

A 28-year-old traveller returns from Bali with fever, retro-orbital pain, myalgia and rash. Platelets are 82 x10^9/L, haematocrit is rising and dengue NS1 antigen is positive. He is haemodynamically stable and has no bleeding. What is the most appropriate management?