A Retrospective Observational Study of Dengue Fever in a Tertiary Care Center in Kerala
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 1
Abstract
Abstract Introduction: Dengue fever (DF) has emerged as an important infectious disease in Kerala with increasing incidence year after year. Knowledge of the clinical and laboratory profile is essential in the early diagnosis and appropriate management of this occasionally fatal illness. Materials and Methods: This is a descriptive, observational, record-based study done in the Department of Pediatrics, Government Medical College, Ernakulam. All children <15 years of age diagnosed to have DF were classified according to WHO new case classification guidelines, and their clinical and laboratory profile were recorded in a pro forma and analyzed. Results: Among the 78 dengue serology positive cases, 19.23% had DF with no warning signs, 57.20% had DF with warning signs, and 23.07% had severe dengue. The most common age group affected was 11-15 years (46%) with a male to female ratio of 1.68:1. Fever was seen in all cases followed by vomiting, myalgia, and headache. Hepatomegaly was a major clinical finding observed in 56.41%, while hypotension and low pulse pressure was seen in 12.82% of cases. Lab parameters showed leukopenia in 48.72% and severe thrombocytopenia 8.97% patients. Among those with elevated liver enzymes, aspartate aminotransferase rise was more than alanine aminotransferase in all cases, but none had values above 1000 U/L. Blood products were needed in 15.38% cases. There was no mortality observed in our study. Conclusion: DF continues to be a major health hazard in children. Strong clinical suspicion, early diagnosis with rapid tests and strict adherence to revised WHO guidelines definitely favors a very good outcome.
Authors and Affiliations
Peter Pathrose Vazhayil
Keywords
Related Articles
- EP ID EP464924
- DOI -
- Views 147
- Downloads 0
Stress Among Dental Students: A Cross-sectional Study in Saudi Arabia
Introduction: Professional dental training can be a stressful experience. Dental education can be very demanding unlike anything students have faced in the past. Purpose: A cross-sectional study was conducted to determin...
Distribution of ABO and Rh-D Blood Groups Among Blood Donors: Western India Data
Introduction: The distribution of ABO and Rhesus (Rh) - D blood groups varies from one population to another. The ABO and Rh blood groups play an integral role in blood transfusion service. They also have an important an...
Predictors of Visual Acuity in Traumatic Cataract
Aim: Traumatic cataract has many challenges. Strategic management to achieve the expected visual outcome is necessary. This study evaluates visual outcome and probable predictors of visual prognosis in traumatic cataract...
Assessment of Longitudinal Strain in Acute ST – Elevation Myocardial Infarction
Introduction: Strain imaging measures tissue deformation rather than tissue velocity. It localizes regional wall motion abnormalities as does the conventional methods such as WMSI and Simpson method. Conventional methods...
Clinical Cross-sectional Study to Identify the Prevalence of Asymptomatic Bacteriuria in Type II Diabetic Patients at Rajiv Gandhi Institute of Medical Sciences Srikakulam
Background: Diabetes mellitus is one of the common diseases affecting a large of population throughout the world. It is an endocrine disorder affecting the physical, psychological, and social health of an individual, WHO...