Affected children may present with fever, headache, seizures or focal neurological deficits.
This hypersensitivity may present with fever, maculopapular rash and other constitutional symptoms such as fatigue, malaise and myalgia.
Even though children with pneumonia may present without fever [ 22], the presence of the recurrent symptoms in these children may imply a diagnosis of asthma rather than pneumonia.
In severely immunocompromised individuals, disseminated disease (involvement of two or more sites) may present as fever and rash before other symptoms and signs appear.
With resolution of neutropenia, the patient may present with fever, right upper quadrant pain, palpable tender hepatomegaly, and elevated serum alkaline phosphatase.
T. annae causes severe illness, and dogs may present with weakness, fever, lethargy, hemoglobinuria, tachycardia and tachypnea [ 2].
During pulmonary larval migration, the patients may present with cough, fever, wheezing, and transient pulmonary infiltrates that are associated with blood and pulmonary eosinophilia [ 128].
Hemorrhagic manifestations, though not as common as in dengue fever, may present as epistaxis, bleeding from the gums, positive Hess test, subconjunctival bleed, and petechial rash [29].
Finally, even with these limitations, our results highlighted that patients classified as dengue fever may present a complex coagulopathy and that the traditional dengue classification may not identify cases with laboratory abnormalities associated with potentially severe forms of the disease.
Patients may present with flank pain, hematuria, fever and night sweats.
