Dengue fever in travellers: are we missing warning signs of severe dengue in a non-endemic setting?

Reprinted from World Health Organization. Dengue: guidelines for diagnosis, treatment, prevention and control. New edition 2009. Geneva: WHO, 2009. ALT 1⁄4 alanine aminotransferase. AST 1⁄4 aspartate aminotransferase. CNS 1⁄4 central nervous system. DSS 1⁄4 dengue shock syndrome. HCT 1⁄4 haematocrit. u W cases of dengue virus infection each year. Far North Queensland has experienced dengue epidemics, with deaths reported in outbreaks in 2004 and 2008e2009.