Sign and Symptom

From History Taking:

Fever
-Abrupt onset, rising to 39.5-41.4°C
-Accompanied by frontal or retro-orbital headache
-Lasts 1-7 days, then defervesces for 1-2 days
-Biphasic, recurring with second rash but not as high

Rash
-Initial rash transient, generalized, macular, and blanching; occurs in first 1-2 days of fever
-Second rash occurring within 1-2 days of defervescence, lasting 1-5 days
-Second rash morbilliform, maculopapular, sparing palms and soles
-Occasionally desquamates

Bone pain
-Absent in DHF(dengue haemorrhagic fever) / DSS (dengue shock syndrome)
-After onset of fever
-Increases in severity
-Not associated with fractures
-May last several weeks
-Most common in legs, joints, and lumbar spine

Miscellaneous symptoms
-Nausea and vomiting
-Cutaneous hyperesthesia
-Taste aberrations
-Anorexia
-Abdominal pain (severe in DHF/DSS)

From Physical Examination:

-Fever
-Signs of intravascular volume depletion
-Hypotension with narrowed pulse pressure
-Delayed capillary refill
-Hemorrhagic manifestations
-Positive tourniquet test
-Petechiae, purpura, epistaxis, gum bleeding, GI bleeding, menorrhagia
-Rash
-Hepatomegaly (inconsistent)
-Generalized lymphadenopathy