Respiratory manifestations of dengue fever from a rural based Medical College Hospital
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2017, Vol 21, Issue 3
Abstract
Background: Dengue fever is commonest arthropod borne disease. Of late it is seen changing the pattern of presentation. Materials and Methods: This observational study was done on patients who were admitted to SVS Medical College Hospital during a period of SEPTEMBER 2010 to AUGUST 2014. During these 5 years a total of 224 cases were diagnosed as dengue fever as per the guidelines of WHO. Observations: A total of 224 cases were included in this study. 72 patients fall under uncomplicated Dengue Fever (DF); 108 cases were classified under DHF (Dengue hemorrhagic fever) while 44 fall under DSS (Dengue shock syndrome). 16 of 108 DHF group and 22 of DSS group succumbed to the disease. Pleural effusion was commonly seen in most of the complicated and uncomplicated cases. Pneumonia, ARDS (Acute respiratory distress syndrome) was exclusively noted in DHF and DSS cases only; two cases of pulmonary haemorrhage were noted in DHF. Discussion and Conclusions: Respiratory manifestations are common in dengue fever. Most common is pleural effusion that was observed in uncomplicated DF (4 of 72), DHF (88 of 108) and DSS (38 of 44). ARDS was not uncommon presentation DHF (16 of 108) and DSS (22 of 44). Pulmonary haemorrhage is very rare.
Authors and Affiliations
Venkateshwarlu Nandyala, Krishna Prasad T, Gandiah P, Anand G Reddy
Keywords
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