Global & Disaster Medicine» Blog Archive » Dengue: New Dengue Case Definitions (2009)

Dengue: New Dengue Case Definitions (2009)

September 12th, 2017

CDC

Dengue without Warning Signs expanded

Fever and two of the following:

Nausea, vomiting

Rash

Aches and pains

Leukopenia

Positive tourniquet test

Dengue with Warning Signs** collapsed

Dengue as defined above with any of the following:

Abdominal pain or tenderness

Persistent vomiting

Clinical fluid accumulation (ascites, pleural effusion)

Mucosal bleeding

Lethargy, restlessness

Liver enlargement >2 cm

Laboratory: increase in HCT concurrent with rapid decrease in platelet count

**requires strict observation and medical intervention

Severe Dengue collapsed

Dengue with at least one of the following criteria:
Severe Plasma Leakage leading to:

– Shock (DSS)
– Fluid accumulation with respiratory distress

Severe Bleeding as evaluated by clinician

Severe organ involvement

– Liver: AST or ALT ≥ 1000

– CNS: impaired consciousness

– Failure of heart and other organs

This entry was posted on Tuesday, September 12th, 2017 at 8:48 am and is filed under Dengue .
You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.