1. Clinical Profile and Outcome of Dengue Fever from a Tertiary Care Centre at Aurangabad Maharashtra India: An Observational Study
- Author
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Akshay Golwalkar, Haseeb M, S. T. Khan, Sandeep Reddy C, Khaled M Badaam, and Anjali Kale
- Subjects
myalgia ,medicine.medical_specialty ,Pediatrics ,business.industry ,medicine.disease ,Rash ,Dengue fever ,Surgery ,Epidemiology ,medicine ,Vomiting ,Tourniquet test ,medicine.symptom ,business ,Complication ,Encephalitis - Abstract
Introduction: India is among the countries reporting regular outbreaks of Dengue infections. The clinical & epidemiological profile of Dengue infection changes from time to time. Present study describes clinical & laboratory manifestations of dengue cases from a tertiary care centre. Methods: It is a descriptive observational study. Study duration was two years from Sep 2011 to Aug 2013. All the dengue patients admitted during this period were included and classified as per new WHO-2009 classification into: Dengue Fever without warning signs (DFWOWS), Dengue Fever with warning signs (DFWWS) and Severe Dengue (SD). The clinical & laboratory parameters were studied and described. Results: From the total of 150 cases, 128 cases (85.33%) were DFWWS, 15 cases (10%) were SD and 7cases (4.67%) were DFWOWS. The commonest age group affected (34 %) was between 11- 15 years. The male: female ratio of cases was 1.73:1. Clinical manifestations were fever (100%), rash (85.33%), arthralgia & myalgia (65.33%), vomiting (64.67%), pain in abdomen (54%), retro orbital pain (43.33%) & convulsions (6.67%). On examination 52% cases had hepatomegaly, 46.67% cases had hemorrhagic manifestations and Tourniquet test was positive in 34.67% of cases. In our study, 54.67% of total cases were positive for NS1 antigen, 28.67% cases were IgM positive and 16.66% cases were positive for both. Maximum number of patients had platelet counts between 40,000 to 1,00,000 (56%). Commonest complication was Encephalitis followed by ARDS. During study period, there was a single death and it was due to ARDS.
- Published
- 2014
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