scholarly journals Study on electrolyte disturbances in dengue fever in a tertiary care centre

2019 ◽  
Vol 6 (6) ◽  
pp. 2504
Author(s):  
Poornima Shankar ◽  
Nithya E. ◽  
Kavya C.
Keyword(s):  
Dengue Fever ◽  
Serum Sodium ◽  
Demographic Data ◽  
Tertiary Care ◽  
Clinical History ◽  
Mean Value ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Electrolyte Disturbances ◽  
The Mean

Background: Dengue is a mosquito borne disease of significant morbidity and mortality. Dengue viral infection has been shown to be associated with electrolyte abnormalities and renal dysfunction. It is necessary to have a thorough understanding about electrolyte disturbances in Dengue, so as to predict, diagnose and treat them accordingly. The aim and objective of this study is to study electrolyte disturbances in dengue fever and its correlation with severity of dengue fever.Methods: This study was performed in a tertiary care centre in Bangalore , India. The study was a prosspective observational study. 200 Patients diagnosed with Dengue were enrolled for the study. Patients demographic data, clinical history, electrolyte values were recorded and analysed.Results: In our study majority of patients belonged to 5-12 years age group ie 47%. Fever was found to be the most common presentation in 196 patients (98%) followed by myalgia in 142 patients (71%), headache in 102 patients (51%), skin rash in 43 patients (21.5%). The mean value of serum sodium observed was 133.69 mEq/L and of serum potassium was 3.58 mEq/L and there was positive and significant correlation between difference in serum sodium and potassium levels with severity of dengue fever.Conclusions: Dyselectrolytemia is more common in dengue fever. Serum electrolytes testing early is very important in dengue patients during management so that if abnormalities are found, they can be appropriately managed as some of these abnormalities may lead to increased severity as well as mortality.

scholarly journals Study of electrolytes in patients of Dengue in a tertiary care hospital in India

2019 ◽  
Vol 6 (3) ◽  
pp. 763
Author(s):  
Prakash Ram Relwani ◽  
Neelam N. Redkar ◽  
Deepanshu Garg
Keyword(s):  
Demographic Data ◽  
Dengue Infection ◽  
Tertiary Care ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Electrolyte Disturbances ◽  
Low Platelet Count

Background: Dengue is a mosquito borne viral infection. It is the most common arboviral disease globally. In the year 2017, India had 1,53,635 cases of dengue with 226 deaths. Electrolyte disturbances reported in dengue infection are hyponatremia, hypokalaemia and hyperchloremia. Considering the serious nature of effects of dyselectrolytemias and high incidence of dengue in India, it is necessary to have a thorough understanding about electrolyte disturbances in Dengue, so as to predict, diagnose and treat them accordingly.Methods: This study was performed in a tertiary care centre in Mumbai, India. The study was a prospective observational cross-sectional study. 150 Patients diagnosed with Dengue were enrolled for the study. Patients’ demographic data, clinical history, examination findings and investigations including electrolyte values were recorded and analysed.Results: A higher incidence of dengue was seen in young age group among admitted patients (74%). Hyponatremia (45.33%) and Hypokalaemia (10.60%) were more commonly observed than hypernatremia (3.33%) and hyperkalaemia (3.33%). Hypochloraemia (6.66%) was seen slightly more than hyperchloraemia (6.00%). Fever was Present in 98.66%, retro orbital headache in 86.66%, vomiting in 56.00%, joint pain in 69.00%, lethargy in 70.66%, breathlessness in 36.00%, bleeding in 8.66%, abdominal pain /tenderness in 18.00%. 85.00% had low platelet count, 30.66% had low hemoglobin and 36.66% had leucopenia. Haematocrit was found to be less in 27.33% and high in 1.33%.Conclusions: From the above results we concluded that, there is a need to have a degree of suspicion about dyselectrolytemias while managing patients with Dengue. Also, patients need to be subjected to necessary lab investigations early during management so that if abnormalities are found, they can be promptly and appropriately managed as some of these abnormalities may lead to increased severity as well as mortality.

Study of dengue fever in Bihar population at a tertiary care centre (JLNMCH, Bhagalpur)

2020 ◽  
Vol 13 (1) ◽  
pp. 09-12
Author(s):  
Amrendra Kumar Singh ◽  
◽  
Gagan Gunjan ◽  
Rajkamal Choudhary ◽  
Ajay Kumar ◽  
...  
Keyword(s):  
Dengue Fever ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre

CLINICOEPIDEMIOLOGICAL STUDY OF CHILDHOOD PSORIASIS PATIENTS AND ITS ASSOCIATION WITH HLA-CW6 IN A TERTIARY CARE CENTRE OF EASTERN INDIA

2021 ◽  
pp. 10-11
Author(s):  
Akhilesh Behra
Keyword(s):  
Tertiary Care ◽  
Epidemiological Data ◽  
Clinical History ◽  
Cross Sectional Study ◽  
Care Centre ◽  
Eastern India ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Plaque Type ◽  
Worldwide Population

BACKGROUND- Psoriasis is chronic common papulosquamous disorder. Its aetiology included various environmental and genetic factors. In genetics, HLA-Cw6 is most commonly associated with psoriasis. Childhood psoriasis is also common in worldwide population. However, very few studies done on epidemiological data and HLA-Cw6 analysis in childhood psoriasis patients. AIMS AND OBJECTIVE- Clinicoepidemiological study of childhood psoriasis patients and its association with HLA-Cw6 in a tertiary care centre of Eastern India MATERIALAND METHOD- We conducted a cross-sectional study in a tertiary care centre and recruited 20 patients of psoriasis with age group below 18 years after taking proper consent. Clinical history and blood was taken from them and HLA-Cw6 analysis was done by PCR method. Data compilation was done by Microsoft excel using SPSS software. RESULTS- A total of the 20 childhood psoriasis patients, 9 were males and 11 were females. Generalized plaque type psoriasis (N=19) is commonest followed by guttate psoriasis (N=1). None of the patients had arthalgia. Family history was present in only 3 patients. Higher numbers of childhood psoriasis patients (N=14) were positive for HLA-Cw6. Also Higher numbers of females (N=10) were positive for HLA-Cw6. ve patients had nail changes. CONCLUSION- We found HLA-Cw6 is strongly associated with childhood psoriasis and also HLA-Cw6 frequency is higher in female than male childhood psoriasis patients.

scholarly journals CARDIAC MANIFESTATIONS IN DENGUE FEVER: A CROSS SECTIONAL STUDY FROM A TERTIARY CARE CENTRE OF NORTH INDIA

2019 ◽  
Vol 6 (17) ◽  
pp. 1300-1305
Author(s):  
Mansi Singh ◽  
Ajay Kumar ◽  
Sanjay Mehrotra ◽  
Virendra Atam ◽  
Ravi Mishra ◽  
...  
Keyword(s):  
Dengue Fever ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
North India ◽  
Care Centre ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional ◽  
Cardiac Manifestations

scholarly journals Clinical and Laboratory Profile of Dengue Fever in Children in a Tertiary Care Centre in Mahabub Nagar, Telangana

2020 ◽  
Vol 7 (15) ◽  
pp. 757-760
Author(s):  
Patta Nagaveni ◽  
Manthena Jagadeesh Kumar ◽  
Kolla Venkata Subbarao ◽  
Anupati Jyothi
Keyword(s):  
Dengue Fever ◽  
Tertiary Care ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Laboratory Profile

scholarly journals OPTIONAL VACCINE UTILIZATION HAS A MALE GENDER PREFERENCE – A RECORD BASED ANALYSIS FROM A TERTIARY CARE CENTRE OF EASTERN INDIA

2020 ◽  
Author(s):  
Sandeep Kumar Panigrahi ◽  
Anumita Maiti ◽  
Venkatarao Epari
Keyword(s):  
Hepatitis A ◽  
Tertiary Care ◽  
Secondary Data ◽  
Gender Disparity ◽  
Measles Vaccine ◽  
Care Centre ◽  
Tertiary Care Centre ◽  
Important Place ◽  
Universal Immunization Program ◽  
The Mean

Background And Objectives: Optional vaccines find an important place in immunization today. This study attempts to find out the trend of optional vaccine utilization, over the past three years in the immunization clinic of a tertiary care centre and to find out the association of gender disparity with the utilization of these vaccines. Methods: The retrospective study was conducted during October to December 2016 using the register based secondary data of October 2013 to September 2016. Month wise utilization of optional vaccines (Pneumococcal, influenza, typhoid, varicella, hepatitis A and MMR) and measles was captured. Analysis was done using Stata 12.1 SE. Results: An increasing trend of utilization was seen for all vaccines including optional vaccines. The mean doses received by male children was significantly more for all optional vaccines (unlike all vaccines taken together) as well as for individual vaccines like Pneumococcal, influenza, typhoid, MMR, hepatitis A (p<0.05), but not for varicella and measles vaccine (p>0.05). Conclusion: Gender disparity (preference for male children) was present for all optional vaccines except varicella, and not in case of measles vaccine used in universal immunization program selected as control.

scholarly journals A STUDY OF CLINICAL PROFILE OF DENGUE FEVER IN A TERTIARY CARE CENTRE

2018 ◽  
Vol 7 (16) ◽  
pp. 1989-1992
Author(s):  
Kalpana Chandra ◽  
Praveen Kumar ◽  
Kalyan Kumar Saha ◽  
Amarendu Kumar ◽  
Manish Shankar
Keyword(s):  
Dengue Fever ◽  
Tertiary Care ◽  
Clinical Profile ◽  
Care Centre ◽  
Tertiary Care Centre

scholarly journals Clinical profile of Dengue patients in a rural tertiary care centre of coastal Kerala

2018 ◽  
Vol 6 (7) ◽  
pp. 2338
Author(s):  
H. Poornima ◽  
Juby John
Keyword(s):  
Dengue Fever ◽  
Tertiary Care ◽  
Hemorrhagic Fever ◽  
Control Programme ◽  
Clinical Profile ◽  
Care Centre ◽  
Case Definitions ◽  
Tertiary Care Centre ◽  
Major Health Problem ◽  
Organ Systems

Background: Dengue epidemic is a major health problem in India. According to the directorate of National Vector Borne Disease Control Programme (NVBDCP) over 18,700 cases of dengue have been reported in India in 2017.Kerala has reported the highest number of dengue related deaths in the country. The aim of the present study is to find out the clinical profile of patients admitted with dengue fever during the epidemic in 2017 in a rural tertiary care centre in coastal Kerala.Methods: 341 patients who were admitted in the medicine department of a rural tertiary care centre in Kerala with Dengue were included in the study. W.H.O case definitions were used for the diagnosis. Complete blood counts, RBS, serum creatinine and liver function tests and E.C.G were carried out in all patients. Chest X ray, Echocardiogram, ultrasonogram, MRI and CSF study were done when indicated.Results: Males predominated. 317 were diagnosed as dengue fever, 12 as dengue hemorrhagic fever and 12 had dengue shock syndrome. Only four patients succumbed to death. Aminotransferases were elevated in 74.4%. In all cases AST was more than ALT. Head ache and myalgia were the common symptoms at the time of presentation. 72 patients had abnormal ECG, but all had normal ECG at the time of discharge, indicating a transient change during the episode.Conclusions: Careful monitoring of clinical and biochemical parameters is necessary during dengue epidemics. Atypical manifestations of dengue should also be considered in the differential diagnosis of various diseases in different organ systems.

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