The onset of shock in dengue can be dramatic, and its progression relentless.
The pathogenesis of shock
It is known that endothelial dysfunction induced by cytokines and chemical mediators occurs.
Dengue viruses are transmitted to humans by infected mosquitoes :Aedes aegypti and Aedes albopictus. There are four serotypes (species) of the dengue virus: types 1, 2, 3, and 4.
DEN-1 infection, followed by DEN-2 infection, has been reported to be associated with worse outcome
DEN-1 infection, followed by DEN-2 infection, has been reported to be associated with worse outcome