Volume : IV, Issue : IX, September - 2015

clinicohematological profile and complications of dengue fever in children

Dr. Rinu Dwivedi, Dr. Sushant Mane

Abstract :

<p>Objectives– to study clinical features, lab profile and complications of dengue in children between 6months to 12 yrs of age. Methods– an observational prospective study of 150 cases of suspected dengue admitted in a hospital in metropolitan city from May 2011–Nov 2013. Patients were classified as per WHO 2011. The serological tests were done by rapid strip test. Results– Out of 150, 101 came dengue positive with mean age 6.5 yrs .out of 101 positive 29 (28.7%) had dengue without warning signs, 28 (27.7%) had dengue with warning signs and 44(43.5%) had severe dengue. Common symptoms were fever, headache, vomiting ,pain in abdomen , rash, bleeding ,cough . Common findings were hepatomegaly, congested eyes, shock, tachypnea, positive tourniquet test ,icterus ,alteration in sensorium .Lab findings were platelets<1,00,000 ( 83.1%) ,leucopenia (62.3%). Abnormal Liver function (72.3%), deranged coagulation (54.5%), Chest x–ray and USG revealed plasma leakage. NS1positive in 1–5days of fever (p<0.5), Ig M in 6–10 days .Complications of severe dengue were plasma leakage (48.5%) , shock (43.5%), encephalopathy (11.9%),acute renal failure (7.9%), ARDS (5.9%) , severe hepatitis ( 4%) and DIC (2.9%). Mortality was 6(5.9%). Conclusions– severe dengue is associated with high morbidity and mortality which can be prevented by early diagnosis, using severity indicators as described.</p>

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Article: Download PDF   DOI : 10.36106/ijsr  

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Dr. Rinu Dwivedi, Dr. Sushant Mane clinicohematological profile and complications of dengue fever in children International Journal of Scientific Research, Vol : 4, Issue : 9 September 2015

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