title: Febrile illness in a young traveler: dengue fever and its complications.
abstract: BACKGROUND
  Dengue 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.
  
  
  OBJECTIVE
  To review the current literature regarding the diagnosis and management of dengue fever.
  
  
  METHODS
  This 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.
  
  
  CONCLUSIONS
  Emergency physicians should consider dengue fever in patients with acute febrile illnesses, especially among those with recent travel.
authors.affiliation: 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.
authors.forename: Herbert C
authors.initials: HC
authors.lastname: Duber
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Kelly
mesh_terms: D000328:Adult; D000914:Antibodies, Viral / Q000097:blood; D003715:Dengue / Q000150:complications / Q000175:diagnosis*; D003716:Dengue Virus / Q000276:immunology; D005260:Female; D005334:Fever / Q000209:etiology; D006801:Humans; D009527:Nicaragua; D014195:Travel
chemical_list: D000914:Antibodies, Viral
keywords: dengue; fever; infectious; travel; tropical