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Mosquito Borne Diseases and Control · Journal article
Scientific Journal of Pediatrics · September 2, 2026
Early or partial results. Treat as a signal, not a conclusion.
This is a single-patient case report auditing weight-based dosing and nutritional classification discrepancies in a 7-year-old Indonesian girl treated for dengue with warning signs and upper gastrointestinal bleeding. The case illustrates the problem that multiple weight definitions and anthropometric criteria can yield conflicting nutritional labels and incompatible per-kilogram drug and fluid prescriptions in the same patient, but does not establish the incidence, clinical harm, or optimal solution to this documentation problem.
Single-case retrospective record audit, CARE-guided. A 7-year-old Indonesian girl hospitalized with dengue with warning signs (fluid leakage, severe organ involvement) and upper gastrointestinal bleeding.. Intervention: Standard clinical management for dengue with warning signs and upper gastrointestinal bleeding (specific interventions not detailed).. n = 1. Indonesia (patient origin; specific site not stated).
At 30 kg and 125 cm, BMI was 19.20 kg/m² (92.4th centile), below the obesity criterion cited in the record. Weight for height was 123.4% of the median, supporting obesity classification. No single body weight reproduced all printed per-kilogram annotations in the medical record.
No assessment of whether the weight-based dosing errors caused clinical harm in this patient.
This case highlights the importance of explicit documentation of which weight definition (actual, adjusted, ideal, or other) is used for every weight-indexed order in pediatric patients with excess weight. Clinicians and records managers should audit whether dosing weights match the anthropometric basis cited for nutritional classification, particularly in acute illness.
A single case report documenting inconsistencies in weight-based dosing and nutritional classification in a pediatric dengue patient; descriptive and illustrative rather than establishing efficacy or safety of any intervention.
As stated by the source record.
Quoted from the source exactly as published.
This case highlights the importance of explicit documentation of which weight definition (actual, adjusted, ideal, or other) is used for every weight-indexed order in pediatric patients with excess weight. Clinicians and records managers should audit whether dosing weights match the anthropometric basis cited for nutritional classification, particularly in acute illness.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Background: In children with excess weight, fluid rates, drug doses, urine output, and energy prescriptions depend on a body weight that is often not identified in the clinical record. Objective: To audit the nutritional classification and implied dosing weights documented for a child with dengue with warning signs and upper gastrointestinal bleeding. Methods: This CARE-guided case report reviewed the de-identified record of a 7-year-old Indonesian girl and recomputed anthropometric indices, weight-indexed orders, and a recorded metabolic-rate calculation. Results: At 30 kg and 125 cm, body mass index was 19.20 kg/m² (92.4th centile), below the recorded obesity criterion, whereas weight for height was 123.4% of the median and supported obesity. No single body weight reproduced all printed per-kilogram annotations, and height had been entered in metres in a metabolic-rate equation requiring centimetres. The child recovered without shock, fluid bolus, transfusion, or respiratory support and was discharged on illness day 8. Conclusion: The nutritional label remained supportable by one criterion but not by the criterion cited in the record. Naming the dosing weight and its basis in every weight-indexed order would make paediatric dengue records more auditable.
Taken from the source record, never inferred. Follow any of these and new work involving them reaches your briefing.