Volume : IV, Issue : IX, September - 2015
clinicohematological profile and complications of dengue fever in children
Dr. Rinu Dwivedi, Dr. Sushant Mane
Abstract :
<p>Objectives&ndash; to study clinical features, lab profile and complications of dengue in children between 6months to 12 yrs of age. Methods&ndash; an observational prospective study of 150 cases of suspected dengue admitted in a hospital in metropolitan city from May 2011&ndash;Nov 2013. Patients were classified as per WHO 2011. The serological tests were done by rapid strip test. Results&ndash; 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&lt;1,00,000 ( 83.1%) ,leucopenia (62.3%). Abnormal Liver function (72.3%), deranged coagulation (54.5%), Chest x&ndash;ray and USG revealed plasma leakage. NS1positive in 1&ndash;5days of fever (p&lt;0.5), Ig M in 6&ndash;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&ndash; 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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DOI : 10.36106/ijsr
Cite This Article:
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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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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