A Study of Clinical and Epidemiological Profile of Dengue Fever in Tertiary Care Centre in Central India
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 6
Abstract
Objective: Dengue fever is most important arboviral disease in India and other tropical and subtropical countries with increasing prevalence in recent years with significant morbidity and mortality. This study was aimed to asses clinical & haematological features and outcome in central Indian adult population. Methods: A cross-sectional observational study undertaken among adult patients admitted in a teaching hospital. 105 patients were analysed. All patients who were IgM-ELISA positive irrespective of their card test status were included in study. Clinical features and haematological, biochemical & radiological findings are noted. Results: Total 105 dengue patients were included 22 ware of DF, 65 in DHF and 18 were DSS group. Male: female ratio was 1.14:1. Most common age group affected was 21-30 Yrs in 42.8 % cases. 60.5% cases were from urban area. 68.5% cases reported in month of September and October. Clinical features noted most common was fever (96.2%), myalgia (57.1%), headache (40%), vomiting(24%), retro-orbital pain (26.6%), abdominal pain(26.6%), patechie (34.2%), rash (41.9%), positive tourniquet test (56.1%). Major bleeding (25.7%), among them most common was gut bleeding. Complications like ARDS, resp. failure, encephalopathy, MODS were noted in DSS cases. Mean Hb% was 11.6 gm%, mean platelets count was 51286 /cumm. Platelets count 4000-1 lakhs in (63.8%) cases. Blood transfusion required in 43.8% cases. Coagulopathy was noted in 72.2% cases of DSS. Mean hospital stay was 7.43 days. No mortality was noted in our study. Conclusion: Dengue is increased with increasing urbanisation & poor sanitation. Dengue has wide spectrum of clinical and haematological presentation. Significant mortality occurs in DHF and DSS. It is a low mortality illness if prompt diagnosis and proper fluid management instituted in DHF and DSS. Platelet transfusion has a little role in dengue management.
Authors and Affiliations
Gopal Krishna
Keywords
Related Articles
- EP ID EP286126
- DOI -
- Views 44
- Downloads 0
A Study of Effect of Angiotensin Converting Enzyme Inhibitor (Ramipril) Therapy on Renal Function and Proteinuria in Type-2 Diabetic Nephropathy Patients
Background: Diabetic nephropathy characterized by persistent albuminuria is the single leading cause of end-stage renal disease. Renin angiotensin system (RAS) is considered to be involved in most of the pathological pro...
In Vitro Cardiac Risk Reduction Bioactive Substance from the Seedlings of Echinochloa frumentacea and Panicum sumantrance
Drug replacement with appropriate remedies are required to eradicate existing problem in thrombosis. It rectified with partially purified thrombolytic enzyme from the seedling of Panicum sumatrance and Echinochola frumen...
The Burden of Headache in Patients Attending Medicine OPD at a Tertiary Medical Centre (AIIMS Patna)
Headache is a very common complaint in communities. Primary headache disorders are not only among the commonest disorders in the world but also among the most burdensome, causing considerable morbidity and loss of produc...
Differences of Radiographic Quality and Exposure Index on Computed Radiography Using Imaging Plate with Different Reading Time Period
ntroduction: Computed Radiography (CR) is the process of digitizing images using photostimulable plate to acquire image. The energy stored in the imaging plate disappears over the time, so imaging plate should be read as...
Eosinophilic Granulomatosis with Polyangitis (Churg Strauss Syndrome) presenting as Guillain Barre Syndrome (GBS)- A Case Report
Churg Strauss Syndrome (CSS) is a rare ANCA Associated Vasculitis (AAV) causes disseminated necrotizing vasculitis in patients with eosinophilia and Asthma. Initial presentation as Neuropathy is quite rare (15%).Usually...