Post-Dengue Symptoms: Lasting Impact After Recovery from Dengue | Know Dengue

Life After Dengue: Understanding Post-Dengue Symptoms

Symptoms of dengue often lasts 1 to 2 weeks for most patients.1 However, about 1 in 5 patients may continue to feel tired, weak, and dizzy for more than 3 months after recovering from their dengue experience.2 This lingering effect is known as ‘post-dengue fatigue syndrome’ or ‘post-dengue symptoms’ (PDS).3

It is estimated that dengue has an economic burden of US$8.9 billion (approximately RM 42 billion) per year with 40% of this estimate is due to loss of productivity from hospitalisation and PDS. Days lost by patient post hospitalisation range from 1 to 19 days which impacts a family’s livelihood and care duties.4

About Post-Dengue Symptoms

A study by the United States Centers for Disease Control and Prevention (CDC) describes post-dengue symptom (PDS) as persistant symptoms of dengue that last for weeks or months after the initial infection. Symptoms of PDS may include5:

  • Persistent fatigue and weakness
  • Joint or muscle pain
  • Neurological symptoms like headache cognitive impairment, and
  • Mood changes long after the dengue infection has passed
Dengue symptom

 

How PDS Affects Your Daily Life

Patients experiencing PDS may feel tired even after a full night’s sleep or notice that simple chores take more effort than usual. This tiredness can make it difficult to focus at work or manage family responsibilities or even daily routines, reflecting how dengue can affect the daily lives of people in their most active years — as shown in Malaysia’s 15 to 59 age group most affected by dengue.6 You can read about one patient’s personal experience with PDS here.

In children, PDS may affect their focus and participation in school activities.4

PDS can also impact one’s emotional well-being. Research has found that depression is about three times more likely among people recovering from dengue compared to the general population.7

For more insight into how dengue affects families in Malaysia, see The Consequences of Dengue for Families.

Overcoming PDS

There is currently no cure for dengue or PDS.1 Most treatment is catered to managing symptoms such as tiredness and mood.1,3

Prevention is Best

The best way to reduce your and your loved ones’ risk of PDS is to prevent dengue. Consult your doctor on1:

  • Dengue vaccination
  • Elimination of breeding sites
  • Prevention of mosquito bites

When dengue strikes and leads to PDS, recovery can take longer than expected, leaving you too tired to manage work or family responsibilities. That is why prevention matters most. Taking early action can reduce your risk of long-term effects and help keep dengue from disrupting your life and family.

Reference
  1. World Health Organization. (2024). Dengue and Severe Dengue. Available at: https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue. [Accessed October 2025].
  2. Kalimuddin S, Teh YE, Wee LE, et al. Chronic sequelae complicate convalescence from both dengue and acute viral respiratory illness. PLoS Negl Trop Dis. 2022;16(8):e0010724. doi:10.1371/journal.pntd.0010724.. [Accessed October 2025].
  3. Garg R. Post‐dengue fatigue syndrome: A comprehensive review of an emerging clinical entity. Karnataka Med J. 2024;47:52-55. doi:10.25259/KMJ_27_2024. [Accessed October 2025].
  4. Hung TM, Shepard DS, Bettis AA, et al. Productivity costs from a dengue episode in Asia: a systematic literature review. BMC Infect Dis. 2020;20(1):393. doi:10.1186/s12879-020-05109-0 [Accessed September 2025].
  5. Tam D, Clapham H, Giger E, et al. Burden of Postinfectious Symptoms after Acute Dengue, Vietnam. Emerging Infectious Diseases. 2023;29(1):160-163. doi:10.3201/eid2901.220838 [Accessed September 2025].
  6. Elson WH, Riley-Powell AR, Morrison AC, et al. Measuring health related quality of life for dengue patients in Iquitos, Peru. PLoS Negl Trop Dis. 2020;14(7):e0008477. Published 2020 Jul 28. doi:10.1371/journal.pntd.0008477 [Accessed October 2025].
  7. Ali S, Shaikh S, Chaudhry RA. A study on Post-Dengue Depression. Pakistan Journal of Medical & Health Sciences (P J M H S). 2017;11(1):12-13. Available from: https://www.pjmhsonline.com/2017/jan_march/pdf/12 [Accessed October 2025].

C-ANPROM/MY/DENV/0501 | Dec 2025