Paracetamol is recommended to keep the temperature below 39oC. Adequate fluid should be advised orally to the extent the patient tolerates. Oral rehydration solution (ORS), such as those used for the treatment of diarrhoeal diseases and / or fruit juices are preferable to plain water. Intravenous fluid should be administered if the patient is vomiting persistently or refusing to feed.
Patients should be closely monitored for the initial signs of shock. The critical period is during the transition from the febrile to the a febrile stage and usually occurs after the third day of illness. Sometimes serial haematocrit determinations are essential to guide treatment plan, since they reflect the degree of plasma leakage and need for intravenous administration of fluids. Haematocrit should be determined daily specially from the third day until the temperature remains normal for one or two days.