Grading the Severity of Dengue Infection
To decide about where to treat the patient, it is important to classify
the severity of dengue infection. The severity of dengue infection is
classified into the grades described in Table 1 below.
Table 1
DF/DHF | Grade* Symptoms Laboratory
DF Fever with two or Leukopenia
more of the following | occasionally.
signs: headache, Thrombocytopeni:
retro-orbital pain, may be present, no
myalgia, arthralgia evidence of plasma loss
DHF | Above signs plus Thrombocytopenia
positive tourniquet < 100,000, Het rise
test 220%
DHF IL | Above signs plus Thrombocytopenia
spontaneous bleeding | < 100,000, Hct rise
220%
DHF Ill | Above signs plus Thrombocytopenia
circulatory failure <100,000, Het rise
(weak puise, > 20%
hypotension,
restlessness)
DHF V___| Profound shock with | Thrombocytopenia
undetectable blood < 100,000, Het rise
pressure and pulse >20%
* DHF Grade Ill and IV are also called as Dengue Shock Syndrome (DSS)