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Clinical Case Definition for Dengue Shock Syndrome
- 4 criteria for DHF
- Evidence of circulatory failure manifested indirectly by all of the following:
- Rapid and weak pulse
- Narrow pulse pressure
(< 20 mm Hg) OR
hypotension for age
- Cold, clammy skin and altered mental status
- Frank shock is direct evidence of circulatory failure
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The clinical case definition for dengue shock syndrome is:
- The four criteria for DHF.
- Evidence of circulatory failure—as manifested indirectly
by rapid and weak pulse; narrow pulse pressure of 20 mm
Hg or less or hypotension for age; and cold, clammy
skin and altered mental status. All three of these conditions
must be met to indirectly demonstrate circulatory failure.
Evidence of circulatory failure may also be manifested directly
by frank shock.
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