Dengue Haemorrhagic Fever. A Problem of Clinical Diagnosis and Proposal for Using a Scoring Systetn

Main Article Content

Muzief Munir
Tjandra Husada
I. Mustadjab


This prospective study was conducted in an attempt to find out a method of
clinical diagnoS'is of Dengue Haemorrhagic Fever wi,th high accuracy and coverage.
A clinical picture of all cases admitted with 3 days fever of unknown origin
and poS'itive tourniquet test was studied.

The cardinal signs and symptoms i.e. liver enlargemerz.t, thrombocyte counJ.
hematocrit, spontaneous bleeding such as epistaxis, petechiae, hematonw and hematemesis, were thoroughly studied from the day of admission up to the sixth day
of illness.

Blood was drawn into filter-paper disks for serologic examination on the day
of admission, then 5, and 10 days thereafter.

Based on a series of serological tests, the patients were grouped into confirmed
and false DHF.

Liver enlargement was found in both groups, but only in the confinned DHF
group was it significantly related to the day of illness (r = 0.45, with probably
error of 0.03 ).

Article Details

How to Cite
Munir M, Husada T, Mustadjab I. Dengue Haemorrhagic Fever. A Problem of Clinical Diagnosis and Proposal for Using a Scoring Systetn. PI [Internet]. 27Feb.1982 [cited 21Jul.2019];22(1-2):11-2. Available from:
Infection & Tropical Pediatrics
Received 2017-08-24
Accepted 2017-08-24
Published 1982-02-27


KHO, L.K.; WULUR H., and HIMAWAN, T.: Blood and Bone Marrow Changes In Dengue Haemorrhagic Fever. Paediatr. lndones. 12: 31 (1-972).
2. MUNIR, M. and HUSADA, T.: Clinical and Management problems of Dengue Shock Syndrome: An analysis of 136 cases. Presented at the IVth National Congress of Pediatrics, Yogjakarta May 21-25, 1978. (in ·print).
3. NIMMANNITYA, S. : Dengue Hemorrhagic Fever, Problem and Progress. Paediatr. Indones. 15 : 93 (1975).
4. SUMARMO; WIDYA, M.S. and MARTOATMODJO, K.: Clinical observation on Dengue Shock Syndrome. Paediatr. lndones. 15 : 151 (1975).
S. SUNOTO; van PEENEN, P.F.D.; SUMARMO; SARNO SINTO, and JOSEPH, P.L. : Studies on Dengue in Children at the Dr. Cipto Mangunkusumo General Hospital, Jakarta. Paediatr. Indones. 15 :
143 (1975).
6. TJANDRA, H. and MUNIR M. : Dengue Haemorrhagic · Fever in Manado, Novth Sulawesi, Paediatr. lndones. 16 : 496 (1976).
7. TRASTOTENOYO, M.S., SOEJONO ANGGORO, A.G.; SUMANTRI, and SUPRAPTI THAIB : A Report on Dengue Hemorrhagic Fever patients with viral isolation. Paediatr. Indones. 15 : 169 (1975) .
8. WHO REPORT : Technical Guides for Diagnosis, Treatment, Survaillance, Prevention and Control of Dengue Haemorrhagic Fever. Technical advisory committee on Dengue Hemorrhagic Fever for
·the East Asian and Western Pasific Regions. WHO techn. Rep. Ser. (1975).