A study of evaluation of severity of Dengue Fever in relation to ultrasound findings
Journal Title: Perspectives In Medical Research - Year 2019, Vol 7, Issue 1
Abstract
Introduction: Dengue fever (DF) is a major public health problem with an increased incidence in recent years. A few recent studies have reported that ultrasound plays an important role as a prognostic indicator in assessing patients at risk for progressing to the critical phase by measuring Gallbladder wall thickening (GBWT). Some authors have described a few patterns of GBWT. There is a paucity of literature regarding the correlation of GBWT in DF and its significance in predicting the severity of disease. Aims and Objectives: To study the role of ultrasound in patients with dengue fever, correlating gall bladder wall thickening with disease severity. This study was done to assess severity of the disease by ultra sound findings and to correlate the ultrasound findings with the severity of the disease. Materials and Methods :A total of 56 serologically confirmed cases of DF were referred to the Radiology Department for ultrasound. A thickened GB wall was defined as being ≥3 mm and was measured by placing calipers between the two layers of anterior wall. GBWT was measured and was correlated with the severity of disease. Results:Out of 56 seropositive patients, 24 patients had no gall bladder wall edema and 32 patients had either just edematous gall bladder or thickened gall bladder wall with pericholecystic edema. Conclusion::: Dengue fever is one of the most common viral infections with variable clinical presentations and degrees of severity. Gall bladder wall thickening is one of the most common findings in dengue fever, and patients with lower platelet count are more likely to have gall bladder wall thickening.
Authors and Affiliations
Deepa Gandra
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