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LT JOHN R. DOOLEY, MC; CAPT JOSEPH S. BURKLE, MC

Arch Intern Med. 1966;117(2):170-174.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

ALTHOUGH dengue fever has been known for almost two centuries, a recent experience with atypical dengue infection is presented to draw attention to the milder expressions of the illness and to reappraise the clinical spectrum of this common tropical disease.

Dengue was first described in 1779 from Java. Subsequently, Benjamin Rush¹ reported an epidemic occurring in Philadelphia and coined the colloquial term "breakbone fever." Henceforth, dengue was recognized only in its classical presentation ² as a remitting fever characterized by abdominal pain, arthralgia, lymphadenopathy, severe bone pain, a diphasic dermal eruption and a positive Rumple-Leede test.

In the 1920's, large scale outbreaks of the disease occurred in the Eastern Mediterranean and along the Gulf Coast of the United States. During World War II dengue was a major source of disability among military personnel in the Far East. In the Southwest Pacific Theater alone over 50,000 cases were encountered among . . . [Full Text PDF of this Article]

Author Affiliations
USN; USN

From the Medical Department, US Naval Communications Station, Zambales, Philippines (Dr. Dooley) and the US Naval Station Hospital, Subic Bay, Philippines (Dr. Burkle). Dr. Burkle is presently Deputy Commanding Officer, Armed Forces Radiobiological Research Institute, Bethesda Md. Dr. Dooley is presently a Staff Medical Officer, US Naval Hospital, Guantanamo Bay, Cuba.

Footnotes
Received for publication July 4, 1965; accepted Sept 3.

The views and opinions expressed are those of the authors and are not to be construed as official or necessarily reflecting those of the Medical Department of the US Navy or the Naval Service at large.

Reprint requests to Box 36 US Naval Hospital, c/o Fleet Post Office, New York, NY 09593 (Lt J. R. Dooley).

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