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Probable dengue |
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Staying in dengue-endemic area. Fever and ≥2 of the following criteria: 1) Nausea, vomiting 2) Rash 3) Headache and/or arthralgia 4) Positive tourniquet test result 5) Leukopenia 6) Any warning signa |
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Laboratory-confirmed dengue |
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Severe dengue |
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1) Severe plasma leakage (shock, respiratory distress) 2) Severe bleeding (as evaluated by clinician) 3) Severe organ dysfunction (eg, liver injury with ALT or AST ≥1000 U/L, altered mental status) |
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a Warning signs: Abdominal pain or tenderness, persistent vomiting, clinical fluid accumulation (ascites, pleural effusion), mucosal bleeding, lethargy or restlessness, hepatomegaly, elevated Ht with a decrease in platelet count. |
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Adapted from World Health Organization. Dengue Guidelines for the Diagnosis, Treatment, Prevention and Control. Edition 2009. |
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ALT, alanine aminotransferase; AST, aspartate aminotransferase; Ht, hematocrit; WHO, World Health Organization. |