A study of clinical, radio-imaging and biochemical profile of Dengue patients in relation with outcome in central Indian hospital
Journal Title: International Journal of Medical Research and Review - Year 2018, Vol 6, Issue 4
Abstract
Objective: Dengue fever is most important arbo-viral 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 evaluate clinical & hematological 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 analyzed. All patients who were IgM-ELISA positive irrespective of their card test status were included in study. Clinical features and hematological, biochemical & radiological findings are noted. Results: Total 105 dengue patients were included 22 ware of Dengue fever without warning signs (DFWOWS), 65 in Dengue fever with warning signs (DFWWS) and 18 were Severe Dengue (SD) group. Male: female ratio was 1.14:1. Most common age group affected was 21-30 Yrs. Most of 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%), and positive tourniquet test (56.1%). Major bleeding (25.7%), among them most common was gut bleeding. Complications were noted in SD group. Blood transfusion required in 43.8% cases. Coagulopathy was noted in 72.2% cases of DSS. No mortality was noted in our study. Conclusion: Dengue is increased with increasing urbanization & poor sanitation. Dengue has wide spectrum of clinical and hematological presentation. Significant morbidity 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, Anil Sejwar, K. Deopujari
Keywords
Related Articles
- EP ID EP348962
- DOI 10.17511/ijmrr. 2018.i04.05
- Views 156
- Downloads 0
A prospective observational study on the clinical profile of ischemic stroke in a tertiary care centre in Thrissur, Kerala
Introduction: India is facing an increasing burden of diseases like coronary artery disease and stroke. Another peculiarity is that the number of cases of stroke in the young is more when compared to the west. There are...
Use of cutaneous silent period parameters as a diagnostic indicator in patients with restless legs syndrome-a study in south Indian population
Objective: The objectives of this study were to investigate cutaneous-silent- period (CSP) parameters- CSP latency and CSP duration in patients with ‘Restless legs Syndrome’ and compare it with that of normal healthy con...
Blood stream infections with Candida species: a prospective study in a tertiary care center
Candidemia describes the presence of Candidaspecies in the blood [1,2]. Invasive Candidiasis embodies a variety of diseases including Candidemia, dissemi¬nated Candidiasis, meningitis, and endo-phthalmitis. Most common f...
Altered Fractionation Intensity Modulated Radiotherapy with concurrent chemotherapy in head and neck cancer : a feseability study
Purpose: To assess the loco regional response and toxicity of patients to concurrent chemo-radiation with 6 fractions/week using Intensity Modulated Radiotherapy in locally advanced head and neck cancers. (oropharynx and...
A study of functional outcome in intertrochanteric femur fractures treated by proximal femoral nailing
Introduction: Intertrochanteric femur fracture is one of the most common fractures of the hip especially in the elderly with osteoporotic bones, usually due to trivial trauma. Dynamic Hip Screw (DHS) is still considered...