Clinical Profile of Dengue Fever in Children: A Study from Tamilnadu, India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
Background: In India, dengue epidemics are becoming more frequent. The majority of dengue viral infections are self-limiting, but complications may cause high morbidity and mortality. Objectives: To assess the clinical profile of the dengue infection in children less than 14 years of age and to evaluate the outcomes of dengue fever from January 2018 to June 2018 at Pediatric Department,Coimbatore Medical College Hospital,Coimbatore. Results: A total of 75 cases were classified into 63(84%) non severe and 12(16%) severe dengue cases. The most common age of presentation was above 5 yrs. The mean age of admission was 8.7 yrs. The most common presenting symptom was fever seen in 100% and hepatomegaly (64%) the most common physical finding. Gastrointestinal bleeding was markedly seen in severe dengue (76.9%). Elevation in aspartate transaminase (SGOT) was found in 47.42% and thrombocytopenia in 27.5%.The correlation between hepatomegaly and elevated SGOT was significant (𝑃 value 0.0346). Case fatality rate (CFR) was 1.03%.The mean duration of hospitalization was 4days. Conclusion: In children, if symptoms like fever, pain, rashes, and vomiting are associated with hepatomegaly and elevated SGOT in context of low TPC, a strong possibility of dengue fever is present, especially in an epidemic setting. Early suspicion and effective management can reduce the severity.
Authors and Affiliations
Dr Lakshmanaswamy . A, Dr Senthilkumar . P, Dr . Kalaiselvi
Keywords
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- EP ID EP467739
- DOI 10.9790/0853-1802143640.
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