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Thread: Dengue in Nicaragua

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    Default Dengue in Nicaragua

    Hello, I'm new to the forums and just returned from a week in Nicaragua mainly in the Masaya area. The trip was great, but I came home with a case of Dengue fever. I'm looking for information on how big of a problem dengue is in Nicaragua. Is it very common or was I really unlucky. I apprecaite any thoughts and information on the subject. Thanks!

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    Dog Whisperer cookshow's Avatar
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    Default Re: Dengue in Nicaragua

    Depends on time of year and the location. Been scarce the past year or so on this side, but before that it was common place, I had it twice in a year.

    The strain here is like a bad flu, not terrible, not enjoyable.
    ‎"You know what you say when people tell you you can't do something? Fool, shut your mouth up!"
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    Viejo del Foro Daddy-YO's Avatar
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    Default Re: Dengue in Nicaragua

    Quote Originally Posted by crash123 View Post
    ... just returned from a week in Nicaragua mainly in the Masaya area. . . . I came home with a case of Dengue fever.
    How do you know you have Dengue fever? Symptoms? Medical tests?


    Quote Originally Posted by cookshow View Post
    . . . I had it twice in a year.
    The strain here is like a bad flu, not terrible, not enjoyable.
    In León, jodido, they regular spray to eliminate the mosquito carriers, but there are always a few cases reported. The hemorrhagic variety of Dengue is deadly, and very rare in this region. (I confess I'm confused as to whether it's a certain virus that induces the deadly hemorrhaging or it's that the virus has that effect on certain people.)
    I never met a Semite I didn't like.

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    Dog Whisperer cookshow's Avatar
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    Default Re: Dengue in Nicaragua

    Quote Originally Posted by Daddy-YO View Post
    How do you know you have Dengue fever? Symptoms? Medical tests?




    In León, jodido, they regular spray to eliminate the mosquito carriers, but there are always a few cases reported. The hemorrhagic variety of Dengue is deadly, and very rare in this region. (I confess I'm confused as to whether it's a certain virus that induces the deadly hemorrhaging or it's that the virus has that effect on certain people.)
    Confusion prevails. They say they can tell with a blood test, I would not bet long odds on that. You feel like a truck hit you , the hemoraging type is pretty rare here from what I gather.
    ‎"You know what you say when people tell you you can't do something? Fool, shut your mouth up!"
    Ernie K Doe

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    Default Re: Dengue in Nicaragua

    I had the symptoms of Dengue(high fever, aches, killer headache), so they sent out a test that apparently came back showing levels of certain anti-bodies indicated it most likely was Dengue. However seeing as how i'm in wisconsin where the doctors had never even heard of Dengue, i'm not entirely convinced there isn't some misreading of the tests either. My doctor claims I can be retested after six weeks to double check the results, but i'm not real sure thats good information either. The research I have done seems to indicate that a 2nd infection is often much worse and is more likely to be the hemoragic version.
    I'm hopeing to spend alot more time in Nicaragua in the future and am just trying to get a better understanding of how much of a problem this may be down the road. THanks!

  6. #6

    Default Re: Dengue in Nicaragua

    I got hemorrhagic dengue back in 1997 in Ciudad Sandino--just outside Managua,on the road to Leon (jodido).

    When I was taken to the hospital to see what I had, they gave me the test for malaria. When it came back negative, they concluded (by the process of elimination) that it was dengue. At least at that time, I was told that there was no conclusive test for dengue.

    A strong tropical virus in latin-america that includes fever, vomiting, and sometimes bleeding out of every orifice and unconsciousness is most likely malaria or dengue. If you don't have malaria, then...
    Soy el chele mono.

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    House SOB Little Corn Tom's Avatar
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    Default Re: Dengue in Nicaragua

    Looked at some of our othe "dengue" threads.

    John ....what is "zote soap" and where do you get it?
    Life's different here ... It's a whole 'nother pace.

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    Dog Whisperer cookshow's Avatar
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    Default Re: Dengue in Nicaragua

    [QUOTE=crash123;128101]I had the symptoms of Dengue(high fever, aches, killer headache), so they sent out a test that apparently came back showing levels of certain anti-bodies indicated it most likely was Dengue. However seeing as how i'm in wisconsin where the doctors had never even heard of Dengue, i'm not entirely convinced there isn't some misreading of the tests either. My doctor claims I can be retested after six weeks to double check the results, but i'm not real sure thats good information either. The research I have done seems to indicate that a 2nd infection is often much worse and is more likely to be the hemoragic version.
    I'm hopeing to spend alot more time in Nicaragua in the future and am just trying to get a better understanding of how much of a problem this may be down the road. THanks![/QUO

    Unless you are dealing with a Tropical Specialist (rare outside of Houston, New Orleans, and Miami) I would take the Dr's advice with a grain of salt. They are reading the internet and doing what you can do on your own. May be Dengue or maybe a dozen other parasite problems.

    Get some stool samples, when stuff comes back that the Dr's there cannot identify you will have a better idea.

    I just recently finished taking pills every 6 hours for 10 days, more pills than I have taken in the past 10 years combined, a water borne amoebe type thing was the best we could guess using the tools available. Unpleasant.
    ‎"You know what you say when people tell you you can't do something? Fool, shut your mouth up!"
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    Viejo del Foro el duende grande's Avatar
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    Default Re: Dengue in Nicaragua

    It goes in waves, some years are worse than others. I`ve knon a half dozen people who had it : one foreigner on her initial stint of trying to live like a Nica in a casa de tablas and the rest Nica kids who don`t have the sense or means to avoid bites.

    The testing here is indirect and fuzzy. If it goes a way in a week it was probably dengue.

    I finally found a good doctor is the US-- a cranky old guy with a mad scientist ambiance. He says to fix my tropical problems down here and not waste his/my time on my short visits to the states.

    Bad luck? Probably, but probably bad judgement, too. Wear clothes, spray deet, and invest in at last a couple suits of Insect Shield clothes. Also, denque tends to be a disease of urban poverty, so stay away from poor people!

    Have a poop tets done down here every so often, but don`t overreact. If you get a biggy. like amoeba H, go see a real doctor, not a clinic beginner. And look up the prescription on the internet before buying the pills. The cure can be worse than the disease.

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    House SOB Little Corn Tom's Avatar
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    Default Re: Dengue in Nicaragua

    Quote Originally Posted by el duende grande View Post
    It goes in waves, some years are worse than others. I`ve knon a half dozen people who had it : one foreigner on her initial stint of trying to live like a Nica in a casa de tablas and the rest Nica kids who don`t have the sense or means to avoid bites.

    The testing here is indirect and fuzzy. If it goes a way in a week it was probably dengue.

    I finally found a good doctor is the US-- a cranky old guy with a mad scientist ambiance. He says to fix my tropical problems down here and not waste his/my time on my short visits to the states.

    Bad luck? Probably, but probably bad judgement, too. Wear clothes, spray deet, and invest in at last a couple suits of Insect Shield clothes. Also, denque tends to be a disease of urban poverty, so stay away from poor people!

    Have a poop tets done down here every so often, but don`t overreact. If you get a biggy. like amoeba H, go see a real doctor, not a clinic beginner. And look up the prescription on the internet before buying the pills. The cure can be worse than the disease.

    Nice post....do it more often.
    Life's different here ... It's a whole 'nother pace.

  12. #12

    Default Re: Dengue in Nicaragua

    i have came back from travelling in Nicaragua and been so sick i was sure i was going to die. always put it down to burning the candle at both ends or some strange flu i had picked up on the airplane along the way. I am fortunate and rarely get ill, despite (or maybe because?) of my lifestyle (smoking and drinking like I am still in the 80's). Twice i have arrived home and gotten the flu to the point where i have not been able to leave my bed, except to go to the bathroom. Now you have me wondering.

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    Viejo del Foro Just Plain John Wayne's Avatar
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    Default Re: Dengue in Nicaragua

    Quote Originally Posted by Little Corn Tom View Post
    Nice post....do it more often.
    I agree...

    I will add one thing to the poop test that I have learned.

    Get it to the lab fresh, and often, I have been told that ya need to take at least 3 of them because somethings don't alway's show up in one or two.

    Metronidazole with Cipro is the perfered regimen for 10 days on the eomiba H. and the Metronidazole part of the regimen gets real nasty on ya after a bit.

    I have not had Malaria that I know of but have had Dengue or Break Bone as it is often called, and one thing I was told and it is important is to avoid blood thinners like asperin so it will not turn into the hemoraging type. Don't know if that part is true, but I did it anyway because it made sense.
    To be called a "Has Been" I must surmise, is much Greater than to be called a "Nevah Been"... JW...



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    Default Re: Dengue in Nicaragua

    3-4 stool samples in 48 hous or less is what I was told.

    You used to always hear that there in no Malaria in Nicaragua, but I here it mentioned in radio ads time to time. Don't know anyone here that has had it.

    My understanding of Dengue is that a mosquito bites an infected person, then bites another person, infecting them. I believe this because when it hits a Barrio it spreads like wildfire, then a week later it is further down the road. I seldom sleep under a mosquito bar, but when Dengue is in town I wrap right up tight.

    I never took any medicine when I had it just drank lots of fluids and stayed in bed, there is a medicine called Dengue something available in all the pharmacy, guessing just something to ease the pain.

    Last time it went around here the hospital was overflowing with elderly and babies.
    ‎"You know what you say when people tell you you can't do something? Fool, shut your mouth up!"
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    Default Re: Dengue in Nicaragua

    Quote Originally Posted by Just Plain John Wayne View Post

    part of the regimen gets real nasty on ya after a bit.
    You are being overly conservative with that description......
    ‎"You know what you say when people tell you you can't do something? Fool, shut your mouth up!"
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    Default Re: Dengue in Nicaragua

    so how do you distinguish between Dengue and a a run of the mill nasty flu? Are there specific symptoms?

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    Viejo del Foro Daddy-YO's Avatar
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    Default Re: Dengue in Nicaragua

    From N.I.H., here are symptoms & more .

    Studies done at UC Berkeley, MIT & Harvard with Nicaragua's National Virology Laboratory show that there are 4 Dengue virus types, with several subtypes. Having been infected by one variety may make it worse when an Aedes aegypti mosquito carrying a different type injects it into your bloodstream. There is no vaccine ... yet. No cure - just your own antibodies (so take good care of 'em.)
    I never met a Semite I didn't like.

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    Viejo del Foro el duende grande's Avatar
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    Default Re: Dengue in Nicaragua

    After taking the cocktale of flagel and something else that is the standerd 10 day amoeba H cure here I had severe arthritis and even more severe tendinitis for a year and a half. I could barely walk for part of that time, but now all is better except joint pain in the shoulders. Stateside one of these medicines carries a cancer warning and the other carries a tendinitis warning. Next time I will look for a different medicine, meanwhile I rarely eat in restaurants anymore and I solarize my drinking water.

    Anyway, Minsa came by the neighborhood yesterday. Seems like there is some hemoragic dengue in Esteli right now. In our neighborhood they want the weeds removed and some trees pruned to eliminate resting spots for the zancudos. We took the opportunity to show them one of Enacals semi-permanent water leeks which has water running down the gutter in front of our house 24/7.

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    Dog Whisperer cookshow's Avatar
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    Default Re: Dengue in Nicaragua

    Minsa seems to do a good job here getting out and about. They come by a few times a year and hand out some packets of stuff to put in any standing water, point out problems they see, they run ads on the radio and try to keep people informed. They used to give out mosquito nets from time to time but it has been a while since I saw that.

    I am too lax about sleeping under a net except when word of dengue comes. I have not heard of a case here in a long while, hope it stays that way.

    For parasites I always took Albendazol for up to 5 days as advised by drs here, no more, that stuff tears me up. I took furazolidone recently and it was much easier on the system.
    Last edited by cookshow; 07-16-2012 at 07:46 PM.
    ‎"You know what you say when people tell you you can't do something? Fool, shut your mouth up!"
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    Default Re: Dengue in Nicaragua

    "Next time I will look for a different medicine, meanwhile I rarely eat in restaurants anymore and I solarize my drinking water."

    I was under the impression it could only be spread by mosquito bites. It can be passed in food and water as well?

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    Default Re: Dengue in Nicaragua

    Dengue is mosquitoes, the thread spread to other parasite problems.
    ‎"You know what you say when people tell you you can't do something? Fool, shut your mouth up!"
    Ernie K Doe

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    Viejo del Foro el duende grande's Avatar
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    Default Re: Dengue in Nicaragua

    Quote Originally Posted by pickled toe View Post
    "Next time I will look for a different medicine, meanwhile I rarely eat in restaurants anymore and I solarize my drinking water."

    I was under the impression it could only be spread by mosquito bites. It can be passed in food and water as well?
    Sorry.I was talking about amoeba h which is water born. Dengue is mosquito born and only by one species of mosquito and only if that one has the disease organism. Once somebody in the neighborhood gets it, your chance goes up which is why Minsa tends to follow up on reported cases. During an outbreak. living near a hospital can be a bad place!

    Somebody in good health should probably avoid ending up in a hospital by keeping their fluids up with suero or water. Since there is no cure-- just a treatment with fluids, rest, and tylenol--somebody in good health and who does not have the hemoragic type has no reason to go a hospital. The Minsa lady said the hemoragic type starts out like normal denque but after 3 days the bleeding starts. Then it is an emergency and you need to get to the hospital.

  23. #23

    Default Re: Dengue in Nicaragua

    Thanks for the explanation. i have been reading some news reports from other C.A. & S.A. locales and sounds like Dengue is worse this year than others for some reason. Living in Canada we have to put up with mosquitos the size of small birds, but thankfully no malaria or dengue, just an annoyance. I have always just laughed off anyone who complains about the tiny mosquitos in central and south america, who don't seem to bother me. Obviously i should pay more attention. Although i still believe Malaria pills do more damage than good.

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    Viejo del Foro el duende grande's Avatar
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    Default Re: Dengue in Nicaragua

    Malaria pills are for short term use in a high risk area. I don`r think anyone recommends them for regular use.

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    Viejo del Foro Daddy-YO's Avatar
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    Default Re: Dengue in Nicaragua

    Quote Originally Posted by el duende grande View Post
    Malaria pills are for short term use in a high risk area. I don`r think anyone recommends them for regular use.
    When I first wandered around Central America I took Aralen, a dirt-cheap (there) anti-malarial, regularly (once a week) for several months. I did so because it's also an anti-amoebal medicine and helped ward off Moctezuma's revenge with all the stuff I ate from less than 5 star establishments. Now that I'm more situated in León, jodido, Nicaragua, and lived on good, home-cooked 'gallo pinto' I don't take it. I'm not saying I recommend it to travelers, but it helped me then.

    It's a bitter medicine, this chloroquinine, and effective in killing malarial micro-organisms and some amoeba, and Lord knows what all else, but it doesn't 'kill' dengue cause it's a virus and viruses ain't 'alive' to begin with. They need a host so they can take over some of your RNA & cells to reproduce.
    I never met a Semite I didn't like.

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