A boy of 3 years coming from endemic area of Dengue presented with 5 days fever, vomiting for several times, gum bleeding and bleeding per rectum He has no h/o bleeding in the past.
On exam the found irritable, mildly anemic, not jaundiced or cyanosed. There is no lymphadenopathy, no hepatosplenomegaly, no bony tenderness. His has tachycardia but blood pressure is normal.
He develops no ascites or pleural effusion.
On investigation, he has thrombocytopenia( 60,000) but PCV -normal (36%)
His IgG and IgM for Dengue were positive.
The patient is lebeled as Dengue Haemeorhagic Fever -grade II.
He is kept under mosquito net, given infusion/ORS, antipyretic, normal diet and kept under close monitoring.
Badrud Doza
Sunday, September 9, 2007
Dengue Haemorrhagic Fever -grade II
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