Grading the Severity of Dengue Infection To decide about where to treat the patient, it is important to classify the severity of dengue infection. The severity of dengue infection is classified into the grades described in Table 1 below. Table 1 DF/DHF | Grade* Symptoms Laboratory DF Fever with two or Leukopenia more of the following | occasionally. signs: headache, Thrombocytopeni: retro-orbital pain, may be present, no myalgia, arthralgia evidence of plasma loss DHF | Above signs plus Thrombocytopenia positive tourniquet < 100,000, Het rise test 220% DHF IL | Above signs plus Thrombocytopenia spontaneous bleeding | < 100,000, Hct rise 220% DHF Ill | Above signs plus Thrombocytopenia circulatory failure <100,000, Het rise (weak puise, > 20% hypotension, restlessness) DHF V___| Profound shock with | Thrombocytopenia undetectable blood < 100,000, Het rise pressure and pulse >20% * DHF Grade Ill and IV are also called as Dengue Shock Syndrome (DSS)