Assessment of Accuracy and Reliability of History, Physical Examination and Investigations for Prediction of Complications in Dengue like Illnesses.
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2019, Vol 4, Issue 4
Abstract
Background: Dengue is the most important arthropod-borne viral infection of humans. Each year there are about 50 million dengue infections and about 500,000 individuals are hospitalized with DHF, mainly in Southeast Asia. Methods: The hospital based study was conducted in the Department of Paediatric, P.B.M. Hospital attached to S.P. Medical College Bikaner. The study was commenced after obtaining clearance from the institutional ethical committee. Written consent was taken from the parents and those who were not willing excluded from the study. Patients presenting to paediatric hospital, who fulfilled inclusion and exclusion criteria were enrolled for the study. Results: Mean age was 10.22 3.04 year in dengue negative cases and 10.153.21 year in dengue positive cases. Male patients outnumber than the female with a male to female ratio of 1.65:1. Fever was present in 100% of cases while documented fever was present in 92.2 % of dengue positive group, followed by vomiting (76.5%), pain abdomen (58.8%), headache (43.1%), eye pain bodyache (41.2% each), rash (11.8%) and joint pain (3.9%). Petechiae and melaena were present in 21.6% of dengue positive cases while nasal bleeding was present in 2(3.9%) cases. Conclusion: It concluded that low platelet count and rising hematocrit has good association to differentiate dengue from other dengue like illness in a resource limited setting. Cases with prolonged fever rarely turns out to be severe dengue. Significant number of dengue like illness cases etiology was undiagnosed. This is an area of research. Other virus of virulence might be the explanation.
Authors and Affiliations
R. K. Soni
Keywords
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