• Herbert C Duber and Stephen M Kelly.
• Department of Emergency Medicine, Tufts University School of Medicine, Boston, Massachusetts; Department of Emergency Medicine, Baystate Medical Center, Springfield, Massachusetts; Division of Emergency Medicine, University of Washington School of Medicine, Seattle, Washington.
• J Emerg Med. 2013 Oct 1;45(4):526-9.

BackgroundDengue fever, a tropical disease once confined mostly to endemic areas in developing countries, is becoming more prevalent. Globalization has led to an increased incidence of the virus both in foreign travelers returning home and local outbreaks in traditionally nonendemic areas, such as the southern United States and southern Europe. Advances in diagnostic tests, therapies, and vaccines for dengue virus have been limited, but research is ongoing.ObjectivesTo review the current literature regarding the diagnosis and management of dengue fever.Case ReportThis case report describes a young woman returning from Central America with many of the common signs and symptoms who was misdiagnosed both abroad and at home. We explore the epidemiology, disease course, complications, and treatment of dengue fever.ConclusionEmergency physicians should consider dengue fever in patients with acute febrile illnesses, especially among those with recent travel.Copyright © 2013 Elsevier Inc. All rights reserved.

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