. 2019 Aug 20;13(8):e0007144. doi: 10.1371/journal.pntd.0007144

Table 9. Definition of severe dengue fever (SDF) in the new World Health Organization (WHO) classification and two proposed revisions.

Original criteria for diagnosing severe dengue fever	1^st proposed revision	2^nd proposed revision
Patients with any of the following features:	Patients with any of the following features:	Patients with any of the following features:
A- Severe plasma leakage leading to: 1- Shock or 2- Fluid accumulation leading to respiratory distress	A- Severe plasma leakage leading to: 1- Shock or 2- Fluid accumulation leading to respiratory distress	A- Severe plasma leakage leading to: 1- Shock or 2- Fluid accumulation leading to respiratory distress
B- Severe bleeding as evaluated by clinician	B- Severe bleeding as evaluated by clinician	B- Severe bleeding as evaluated by clinician
C- Severe organ involvement: • Liver: AsT or AlT > = 1000 IU/L • CNS: impaired consciousness • Heart and other organs	C- Severe organ involvement: • Liver: AsT or AlT > = 1000 IU/L • CNS: impaired consciousness • Heart and other organs	C- Severe organ involvement: • Liver: AsT or AlT > = 1000 IU/L • CNS: impaired consciousness • Heart and other organs
	D- Acute decompensation of chronic disease	D- Acute decompensation of chronic disease
		E- Minor bleeding with thrombocytopenia <20,000 platelets/mm³