The Value of Warning Signs From the WHO 2009 Dengue Classification in Detecting Severe Dengue in Children.
Mulya Rahma KaryantiCuno S P M UiterwaalSri Rezeki HadinegoroIndah Suci WidyaheningSiti Rizny F SaldiJ A P Hans HeesterbeekArno W HoesPatricia Bruijning-VerhagenPublished in: The Pediatric infectious disease journal (2024)
In infants, liver enlargement or clinical fluid accumulation are important warning signs for severe dengue, when both are absent, severe dengue is unlikely. In older children and adolescents, an increase in hematocrit with the concurrent rapid decrease in platelet count is most discriminative; followed by the absence of abdominal pain, vomiting or fluid accumulation are unlikely severe dengue.