Pleural Effusion and Ascites in Child with Dengue Haemorrhagic Fever and Its Management

Background: Dengue haemorrhagic fever (DHF) is caused by dengue virus type 1-4; it is still endemic in Indonesia. Case: A 1 year and 11 months--old baby-girl with fever, lethargic, nausea and vomiting, and thrombocytopenia. She was diagnosed with dengue hemorrhagic fever. Pleural effusion and ascites were diagnosed after fluid resuscitation. Clinical improvement was observed after furosemide therapy and could be discharged after seven days of treatment. Conclusion: Diuretic administration can be considered in case of dengue haemorrhagic fever with severe plasma leakage. Further research is needed.