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Predisposing factor Precipitating factor

Environment (cleanliness, Location (tropical)


sanitation)
Age

Bite from aedes aegypti mosquito

Exposure to dengue virus subtype

Immune system creates antibodies


against this specific subtype

Inability to bind to target cells

Bite from another infected mosquito

Infection to another dengue subtype

Exposure to another dengue virus subtype

Antibodies from the last infection bind to


it but does not inactivate the virus

Infection attracts macrophages

Virus enters the macrophage


and replicates in the cells
Viral infection

Creates multiply lesion in the blood stream Release of Release of prostaglandin


Interleukin 1

Release of bradykinin
↑ capillary ↑ ↑ vascular Reach the
fragility consumptio permeabili anterior
hypothalamus

Myalgia
Hemorrhagic Pleural effusion Athralgia
manifestation High grade fever with
(petechiae, headache
purpura, Thrombocytopen
epistaxis) ia

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