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The test was once part of the World Health Organization (WHO) algorithm for diagnosis of dengue fever, [3] however it is no longer used in the latest WHO guidance. [4] Studies have shown that the tourniquet test has low predictive value for dengue fever and should be used in conjunction with other tests for a reliable diagnosis. [5] [6] [7] [8]
The Hess test or Rumpel-Leede test is a medical test used to assess capillary fragility. [1] It is also called the Tourniquet test . To perform the test, pressure is applied to the forearm with a blood pressure cuff inflated to between systolic and diastolic blood pressure for 10 minutes.
When laboratory tests for dengue fever become positive where day zero is the start of symptoms, 1st refers to in those with a primary infection, and 2nd refers to in those with a secondary infection. [7] Dengue fever may be diagnosed by microbiological laboratory testing. [26]
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For perspective, there have been 2,559 cases of dengue fever reported in U.S. states and territories since the start of 2024, per the CDC. A large majority of those (1,724) were reported in Puerto ...
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Article says: "The test remains an essential part of the assessment of a patient who may have dengue haemorrhagic fever." Since this is in the context of a statement that a major insurance company has determined that this test is obsolete or unreliable and replaced it by more advanced procedures, we may want to clarify by whom exactly this test is (still) considered essential.