Post C-19 and dengue - odd symptoms

RedBlanketRunner

RedBlanketRunner

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C-19, recovered 5 months back. Dengue, 2 months back.
Normal vitals 112/68, P 60, Res 40-60.
Starting 2-3 weeks ago, at any time during any activity or in repose, tachycardia with pulse >100 during which frequent PVCs noted. Lasts for a few minutes up to several hours. BP occasionally goes up to 130/100. (my BP going over 130 makes me feel a mild malaise - normal) Normally to get my pulse >100 requires some strenuous exercise like riding my bike up a hill)
ECG taken twice shows no irregularity. Chem panel normal, O2 always remains 80-90. Sensation of bronchial restriction sends O2 over 100 as I hyperventilate.
Two physicians have drawn blanks. Roxythromycin prescribed. Some physician findings have been unreadable and haven't translated properly but no concern voiced.

Anyone encounter similar scenarios? Moderators: not asking for diagnostics, only similar conditions.
 
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Solved. Doc just called me in. Dengue complications strongly suspected.
 
Where did you get Dengue?
 
johnrsemt said:
Where did you get Dengue?
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likely from her Dengue from 2 months ago (first line of the post)... I'm curious though, is there any reason complications from Dengue were suspected, other than the patient having it two months ago? I mean, if the patient had the flu, ebola, chicken pox, a rash on his or her ***, or some other illness, would the symptoms been blamed as a complication of dengue, or whatever they had 2 months ago?

simply saying it's complications seems like an easy answer and cop-out, and not the actual cause of the patient's symptoms.
 
DrParasite said:
likely from her Dengue from 2 months ago (first line of the post)... I'm curious though, is there any reason complications from Dengue were suspected, other than the patient having it two months ago? I mean, if the patient had the flu, ebola, chicken pox, a rash on his or her ***, or some other illness, would the symptoms been blamed as a complication of dengue, or whatever they had 2 months ago?

simply saying it's complications seems like an easy answer and cop-out, and not the actual cause of the patient's symptoms.
Click to expand...
I think the OP is the patient. He said

Normally to get my pulse >100 requires some strenuous exercise like riding my bike up a hill)
Click to expand...

and

Sensation of bronchial restriction sends O2 over 100 as I hyperventilate.
Click to expand...

That was my impression of this post.

I think that's also why he added

Moderators: not asking for diagnostics, only similar conditions.
Click to expand...
 
Well, the OP is in the land of high prevalence for Dengue.

A secondary Dengue infection could spell disastrous consequences- that is the most serious complication of Dengue.

Primary Dengue also has wide variety of lasting complications that can present weeks after primary infection, including cardiovascular and hematologic that usually resolve, but sometimes do not. Add in the unknowns of Covid 19 and it’s long term physiological consequences and you’ve got yourself a date with an infectious disease specialist.
 
Surprised some techs giving me the stress test. Pulse stayed steady as a rock, <80. Then a break sitting in a chair before the cardio doc came in. Pulse suddenly went to 120.
It's one thing to work with patients, but when your own vitals get hammered is extreme disconcerting.
 
S.E. Asia dengue incidence varies drastically from locale to locale. Thailand averages 1 out of 3 people contract it at least once in their lives. Our municipality averages 2-3 cases/year, pop. ~1200. Municipality 12 miles south, same pop. 17-25.
I've had dengue twice and suspected a third time. So far it hasn't been the bad news version.

My cardio phys. is very on the ball. Calls me at home once or twice a week. He's convinced it's dengue related but is extremely cautious ordering cardiac meds since my vitals are normally in the high end of healthy. He's ordered me to stop riding my bike for 3 weeks now. Telemetry trackers show no trend variations so far. Chem panels normal range all, 4 times now. Tachy simply hits arbitrarily under any circumstance. One thing the doc did note is I often get mild tachy, up to 90-100, when I first go to bed. Perplexing.

BTW, please excuse if I don't use picture perfect American-eeze venacular. I've been out of the loop for near 30 years now and exposed to European Australian and Asian terminologies for numerous years. One Asian tweak that drives many Americans and some European health care workers up the walls is truncating words. Ex: tachy for tachycardia. They are still trying to understand what a paramedic is here.
 
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This thread needs a little irony. Our municipal water system is pretty bad. Non chlorinated, shallow well, numerous dairy farms. Mold and gads knows what else liquid delivery system. So last week I spent the day in the yard, mosquito hell zone, putting the finishing touches on our own water treatment plant. 250 gallon water tank with chlorine injection, 5 micron pre filter, .5 micron ceramic filters and commercial UV treatment for the entire house. Then another water treatment system for the potable water.
Last Monday my back went out, liumbar spasms. Wednesday the agony spread to my hips, yesterday aches and pains all over. Went to the doc. Word this afternoon, I caught dengue again.
But our drinking water tastes great!
 
I'd have your GP run an Endocrine Panel.

Most Docs overlook the idea , in non-critical Pts, that Brain Chemistry-Levels (Cortisol, Pregnenolone, ACTH) and related Chemical Imbalances cause the Sympathetic and Parasympathetic systems to go off-kilter and cause HTN and Tachy events , (even with Drug Therapy).

HK
 
Btw, Good News is that you're now only 7 Strains of Dengue to go to have Natural Full Immunity...lol
 
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