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Right Lateral Decubitus Thoraxradiologycal Evaluation as an Aid to DHF Diagnosis in Regional Hospital (Manfaat Pemeriksaan Radiologik Toraks Posisi Lateral Dekubitus Kanan sebagai Alat Bantu Diagnosis Demam Berdarah Dengue di Rumah Sakit Kabupaten)

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The advantage of a chest X-ray in the RLD position in 15 children with DHF hospitalized at the paediatric ward of the Ternate General Hospital within the period of May-June-July 1990 and June-July 1991 were evaluated. Besides clinical and laboratory assessment to establish the diagnosis of DHF according to the WHO guidelines (1975), a chest X-ray in the RLD position was performed on each child and a haemaglutination-inhibition test was also done to confirm the diagnosis. Chest X-rays in the RLD position found pleural effusion (PE) in 11 out of 15 patients with DHF (76.33 percent), especially in those with dengue shock syndrome (66.67 percent). A positive serological test was always associated with the presence of PE (100 percent), while this could be shown in only 2 patients with negative test results (33.33 percent). it can be concluded that the WHO criteria for the clinical diagnosis of DHF (1975) can be confirmed not only by the serological test but also by the presence of PE on chest X-ray in the RLD Position and therefore this examination may play an important role in establishing a diagnosis of DHF in a regency hospital.

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Cermin Dunia Kedokteran,(107)1996:5-8

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: ., 1996

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dengue
radiology

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