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Diagnosis
DHF bleeding tendencies ( tourniquet test.
Petechiae) or overt bleeding in the absence of
underlying causes such as preexisting GI lesion.
DSS hemorrhagic signs, is much more serious
and result in increase vascular permeability
leading to shock.
Mild DHF/DSS restlessness, lethargy,
thrombocytopenia (<100,000/L) and
hemoconcentration are detected 2-5 days after
onset of typical dengue fever, usually at the
time of defervescence.
More severe case, frank shock is apparent, with
low pulse pressure, cyanosis, hepatomegaly,
pleural effusions, ascites and some cases
severe ecchymosed and GI bleeding
Virological diagnosis
Aetiological diagnosis can be confirmed by
serological testing and virus detection by
isolation or molecular technique from the blood
during the early febrile phase. Antibodies to
dengue virus antigens increase rapidly in
patients with secondary dengue infection.