Case Report: Dengue Hemorrhagic Fever in Children

Maria Wahyu Daruki(1*)

(1) Primary Health Care Center (Puskesmas) Banjarangkan II, Klungkung, Bali, Indonesia
(*) Corresponding Author


Patients came to the Puskesmas with the patient's child with complaints of heat for 4 days ago before the patient went to the Puskesmas. The patient began to feel the body shivering for 4 days ago by feeling pain throughout the body accompanied by shivering and not having energy/feeling weak. At present, patients complain of headaches, joints ache and feel just want to stay alone. The patient checked the patient's temperature around 38-39˚C for 2 days ago. The patient did not complain of swallowing pain, decreased appetite, but the patient still ate a lot to improve the condition. The heat arises suddenly during the day, and the patient only takes the drug paracetamol but the heat and pain decrease only slightly. Patients had had time to go to the Puskesmas and check blood at that time obtained 138,000 platelet laboratory results, hematocrit 46.7% and leukocyte rate 3,200/mm3, the patient was given medication by a doctor at the Puskesmas paracetamol 3x500 and vitamin C, and recommended control again the next day. At the time of control, the patient's condition was still weak, headache was still persistent, and also joint pain was still present. Then blood was taken again, and platelet results were obtained 70,000/μl, hematocrit 70.1% and leukocyte count 6,500/mm3, around the patient's home there was 1 child who was treated with dengue fever. The patient complained of nausea but did not vomit. The gums are not bleeding and there are no nosebleeds, then an RL test and a positive result are performed. Patients are advised to be referred to Regional Public Hospital to get further treatment. The patient has never experienced this condition before. The patient had typhus but was not hospitalized, only with outpatient care. Other illnesses are just coughing and the common cold, not serious illnesses. The patient has a drug allergy to ciprofloxacin.

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1. Divya A. Immune system: an overview. Research & Reviews: Journal of Pharmacology and Toxicological Studies. 2015; 3(1): 45-51. Available from:

2. Ministry of Health Republic of Indonesia. DHF management. Jakarta: Ministry of Health Republic of Indonesia; 2004.

3. Indonesian Pediatric Society. Guidelines for medical services. Jakarta: Indonesian Pediatric Society; 2009.

4. Ministry of Health Republic of Indonesia. Ministerial decree no. HK.02.02/Menkes/514/2015 on clinical practical guidelines for doctors in first-level health facilities. Jakarta: Ministry of Health Republic of Indonesia; 2015.

5. Fidayanto R, Susanto H, Yohanan A, Yudhastuti R. Control model of dengue hemorrhagic fever. Kesmas: National Public Health Journal. 2013; 7(11): 522-8.

6. Kleinman A. Patients and healers in the context of culture. Berkley, CA: University of California Press; 1980.

7. Nguyen HV, Than PQT, Nguyen TH, Vu GT, Hoang CL, Tran TT, et al. Knowledge, Attitude and Practice about Dengue Fever among Patients Experiencing the 2017 Outbreak in Vietnam. Int. J. Environ. Res. Public Health. 2019; 16(6): 976.

8. Wan Rosli WR, Rahman SA, Parhar JK, Suhaimi MI. Positive impact of educational intervention on knowledge, attitude, and practice towards dengue among university students in Malaysia. Journal of Public Health. 2019; 4(27): 461-71.

9. Ghani NA, Shohaimi S, Hee AK, Chee H, Emmanual O, Ajibola SLA. Comparison of knowledge, attitude, and practice among communities living in hotspot and non-hotspot areas of dengue in Selangor, Malaysia. Tropical Medicine and Infectious Disease. 2019; 4(1): 37.

10. Zaki R, Roffeei SN, Hii YL, Yahya A, Appannan M, Said MA, et al. Public perception and attitude towards dengue prevention activity and response to dengue early warning in Malaysia. PLoS ONE 14(2): e0212497.

11. Yusuf AM, Ibrahim NA. Knowledge, attitude and practice towards dengue fever prevention and associated factors among public health sector health-care professionals: in Dire Dawa, eastern Ethiopia. Risk Management and Healthcare Policy. 2019; 12: 91-104.


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