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Pathophysiology

Predisposing
Precipitating Bite of a virus carrying Factors:
Factors: mosquito Age, Heredity, Sex,
Aedes Aegypti Age
Mosquito
Mosquito injects fluid into
patient’s skin

Virus enters into the host’s blood


Platelet will provide a stream
shield for the virus from
exposure and binding to Infects cells and replicate in sufficient
neutralize pre-existing
amount
antibody
Initiates an immune
response

Activation of memory T-cell Stimulates


Macrophages or monocytes response during re-exposure ---
release of
engulfed the virus having
cytokines
the platelet (phagocytosis)
Virus- anti body complex High fever, body
(Binding of ab-virus) weakness,
headache and
dizziness
AB- enhance uptake

Cytokines destroy cell


membrane and cell wall
Cytolysis
(viral antigens found in
monocytes)

Complement system
activation
Coagulopa Thrombocytope Vasculopathy
thy nia (plasma Vascular endothelial
(PT/APTT) (< 100x109/L) leakage) activation

Fluid shifting ICF to Management:


ECF Promote bedrest
Medication
Rapid replacement of body
fluids
Blood transfusion
Precautions

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