Dengue deaths usually occur within this group of dengue patients
While dengue is still a pediatric health concern, the infection
has become more of a young adult disease in many
endemic regions . A number of
clinical presentations of dengue, which are typical to adult
infections, have been documented and this has become
the impetus for World Health Organization (WHO) to
revise its original classification of dengue to take into
account of other ‘atypical’ manifestations of dengue (Rowe
et al. 2014; Nimmagadda et al. 2014; Hadinegoro 2012).
Under the recent WHO classification, most of the dengue
patients fall under the group of dengue with warning
signs which include abdominal
pain or tenderness, persistent vomiting, mucosal bleeding,
hepatomegaly, lethargy or restlessness, thrombocytopenia
and increased hematocrit profile. Severe dengue is
often reported with co-morbidities such as diabetes mellitus,
obesity, hypertension and asthma