Professional Documents
Culture Documents
TDR-WHO
2009
Clinical Spectrum of Virus Dengue
Infection
WHO SEARO
2011
Expanded
dengue
syndrome
WHO Classification of Dengue Infection
and Grading of Severity
WHO-SEARO 2011
DF / DHF Grade Signs & Symptoms Laboratory
DF Fever with 2 following signs : - Leukopenia ( 5000 cells/mm3)
- Headache - Trombocytopenia
- Retro-orbital pain ( 150.000 cells/mm3)
- Myalgia - Rising hematocrit (5-10%)
- Arthralgia/bone pain - No evidence of plasma loss
- Rash
- Hemorrhage manifestations
- No evidence of plasma leakage
Compensated Decompensated
Profound shock
shock shock
Tachycardia Tachycardia
Unpalpable pulse
Tachypnea
Hypotensive
Pulse rate 20 mmHg Undetectable blood
Narrow of pulse rate pressure
Cap. refill time 2 sec
Hyperpnea or Kausmull
Cold skin
Cyanosis
Decresed urin output
Syok Takikardia
Syok Hipotensi
Asidosis
Diastolik Profound metabolik berat
terkom meningkat tanpa
peningkatan
dekom berkepanjangan
Hipoksia syok Multi organ
pensasi sistolik pensasi failure
Komplikasi
infeksi dengue
Expanded
dengue
syndrome
Manifestasi
klinis yang tidak
lazim (unusual
manifestations) - Ensefalopati dengue
- Perdarahan hebat (massive
bleeding)
- Infeksi ganda (dual infections)
- Kelainan ginjal
- Miokarditis