Dengue remains a public health problem in the Americas despite the efforts of the Member States to stop and mitigate the impact of epidemics. It is a systemic infectious disease and dynamic. The infection can be asymptomatic or show with a broad clinical spectrum that includes serious way of expressions and non-serious. After incubation, the disease begins abruptly and goes through three phases: febrile, critically and recovery.

   Dengue needs to be addressed as a single disease with different clinical presentations ranging from benign conditions to severe clinical course and outcomes that cause the deaths.