Study of clinical spectrum of Dengue fever in a tertiary care hospital in North Telangana

Year : 2019 | Volume : 7 | Issue : 1 Page : 72-74

Veera Reddy P¹, Chaitanya Y²

¹Professor,²Assistant Professor, Department of General Medicine, Prathima Institute of Medical Sciences, Karimnagar, Telangana, India

Address for correspondence: :Dr Y Chaitanya, Assistant Professor, Department of General Medicine, Prathima Institute of Medical Sciences, Karimnagar, Telangana, India.

Email: drchaitu_yedulla@yahoo.co.in

Abstract

Objective: Dengue fever is one of the most common mosquitoe borne Arboviral infection which has become a public health concern globally with increased prevalence year after year with considerable morbidity and mortality. This study is designed to know the clinical and laboratory parameters of Dengue fever patients.

Materials and Methods :This is a prospective observational study conducted in a 70 bedded hospital in Karimnagar. This study included 280 patients presented to OPD between August 2016-December 2016 with Dengue NS1 Antigen and or IgM Antibody positive. Clinical features and laboratory parameters were noted.

Results:: Of the 280 patients studied, majority were males(63.57%). Fever was the major symptom(100%), followed by myalgias(87%), headache(82.8%), rash(42.8%), hiccoughs(32.1%), abdominal pain(22.1%), retroorbital pain(17.5%), bradycardia(53.2%), pleural effusion(16.78%) and ascites(11.4%). Significant derangements in platelet count(92.85%), leucocyte counts(22.5%) and serum transaminases(71.4%) were noted. Conclusion:Fever associated with myalgias, headache, rash over palms and soles, retroorbital pain along with thrombocytopenia, leucopenia, raised serum transaminases should prompt a clinician to evaluate for dengue infection. Prompt diagnosis and careful management is crucial in reducing the morbidity and mortality associated with these infections.

Keywords:Dengue fever, thrombocytopenia, rash