what is synbiotic? why it is given to a patient with Dengue fever grade 3?

Answer 1

Dengue hemorrhagic fever is an acute febrile infectious disease, caused by all four serotypes (1, 2, 3 or 4) of a virus from genus Flavivirus, called dengue virus. This deadly disease is transmitted by the bite of Aedes aegypti female mosquitoes.


Diffuse capillary leakage of plasma is responsible for the hemoconcentration. In the presence of hemoconcentration and thrombocytopenia, the patient is considered to be seized by dengue hemorrhagic fever and classified according to the following World Health Organization classification::



Grade I - thrombocytopenia + hemoconcentration. Absence of spontaneous bleeding.
Grade II - thrombocytopenia + hemoconcentration. Presence of spontaneous bleeding.
Grade III - thrombocytopenia + hemoconcentration. Hemodynamic instability: filiform pulse, narrowing of the pulse pressure (< 20 mmHg), cold extremities, mental conffusion.
Grade IV - thrombocytopenia + hemoconcentration. Declared shock, patient pulseless and with arterial blood pressure = 0 mmHg (dengue shock syndrome - DSS).

Symbiotic relationship[ means living together. So the virus lives off the aedis female mosquito. The tx for Dengue Hemorrhagic Fever is lot of fuilds.