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43: Dengue
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Published:January 2023
"Dengue", Red Book Atlas of Pediatric Infectious Diseases, Tina Q. Tan, MD, FAAP
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Dengue infection may be asymptomatic or, if symptomatic, may have a wide range of clinical manifestations. The 2009 World Health Organization classification for dengue severity is divided into (1) Dengue without warning signs: fever plus 2 of the following criteria: nausea/vomiting, rash, aches and pains, leukopenia, or positive tourniquet test; (2) Dengue with warning signs: dengue as defined above plus any of the following criteria: abdominal pain or tenderness, persistent vomiting, clinical fluid accumulation (ie, ascites, pleural effusion), mucosal bleeding, lethargy, restlessness, or liver enlargement greater than 2 cm; and (3) Severe dengue: dengue with at least one of the...