Study of Clinical Spectrum, Laboratory Profile and Outcome in Dengue Virus-Infected Children Admitted In P.B.M. Children Hospital, Bikaner Rajasthan
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 4
Abstract
Aim : To study the epidemiology, clinical features and outcome of admitted children suffering from dengue infection. Material and Methods : This prospective study was conducted in Department of Paediatrics, Sardar Patel Medical College, Bikaner from October 2016 to September 2017. Patients who were fulfilling our inclusion and exclusion criteria. Cases were managed as per standard treatment protocol put forward by WHO (2009). Results : In our series, out of total 100 cases, 32 had DFNWS, 62 had DFWS and 6 had Severe dengue. Total 62% cases were males and 38% cases were females and male to female ratio was 1.63:1. Majority of our children belonged to urban area (73%) while only 27% belonged to rural area. Fever was the most common manifestation of dengue infection and was present in 100% children, next common manifestations was vomiting in 71% children, myalgia 67%, headache 59%, pain abdomen 53%, positive tourniquet 43%, rash 29%, retro-orbital pain 12%, lethargy 7% and shock only 3% cases. Hepatomegaly 50%, positive tourniquet test 43% and bleeding manifestations were present in 39% children. Edema was the most common sign in 22% children, followed by ascites (17%), and pleural effusion (12%). In laboratory profile, thrombocytopenia was found in 71% of children and elevated liver enzymes were found in 33% of children. Conclusion: Hepatomegaly was most common physical finding and petechiae were most common bleeding manifestation. Liver dysfunction was predominant with severe dengue illness. In laboratory findings leucopenia appeared earlier than thrombocytopenia in our study.
Authors and Affiliations
Dr. Santosh
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