In dengue endemic regions, a chief complaint of nocturnal fever often is a pathognomic phrase that triggers an investigation for dengue. This article looks at cases of patients who were tested for dengue based on their symptoms of weakness and loss of appetite, without fever as fever was absent in most cases. The article also examines the changes in weight that occur after diagnosis of dengue and compares it to weight loss (if any) that occurred prior to the diagnosis. Dealing with the anorexia and weight loss is challenging for physicians, patients and family members.
Keywords: Dengue; absent fever; anorexia; appetite; geriatric; weakness.
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