The presence of shock in dengue fever is associated with a worse outcome, and the occurrence of recurrent shock even more so.
Criteria for recurrent shock in dengue fever:
(1) dengue fever with first episode of shock
(2) adequate volume resuscitation (using a WHO protocol) with pulse pressure >= 30 mm Hg
(3) subsequent episode of abnormal cool skin on the extremities, tachycardia and pulse pressure <= 25 mm Hg
where:
• pulse pressure = (systolic systemic arterial pressure) - (diastolic systemic arterial pressure)
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Specialty: Infectious Diseases
ICD-10: ,
