View source for Arbovirus

==Background==
*Infections spread by mosquitos, ticks, flies.
*Dengue fever is the most common causes of arboviral disease around the world.
*Increased incidence in warmer months.

==Clinical Features==
*Most commonly manifest as four syndromes (that may overlap:)
**Fever and myalgia
**Arthritis and rash
**[[Encephalitis]]
**[[Viral hemorrhagic fever]]
***Headache common part of all syndromes

==Differential Diagnosis==
*[[Fever and rash]]
*[[Encephalitis]]
*[[Viral hemorrhagic fever]]

==Evaluation==
*Detailed travel and exposure history
**Local epidemiologic patterns helpful
*Specific serologic testing

==Management==
*Symptomatic management
*Exclude other causes if serious presentation
**Consider empiric [[acyclovir]] and [[antibiotics]] until [[HSV]] and [[bacterial meningitis]]/encephalitis ruled out.

==Disposition==

==See Also==

==External Links==

==References==
*Takhar SS, Moran GJ. Disseminated Viral Infections. In: Tintinalli JE, Stapczynski J, Ma O, Cline DM, Cydulka RK, Meckler GD, T. eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. New York, NY: McGraw-Hill; 2011.
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