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

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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Comparison of rapid immuno- chromatographic card test with elisa in diagnosis of dengue fever at tertiary care centre

Indian Journal of Microbiology Research ◽

10.18231/2394-5478.2018.0059 ◽

2018 ◽

Vol 5 (2) ◽

pp. 284-287 ◽

Cited By ~ 1

Keyword(s):

Dengue Fever ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

Card Test

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The incidence and clinical profile of dengue hemorrhagic fever among patients diagnosed with dengue fever in a tertiary care centre in south India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20211349 ◽

2021 ◽

Vol 9 (4) ◽

pp. 1050

Author(s):

Kiren George Koshy ◽

Moothezhathu Kesavadas Suresh ◽

Meenu Maheswari Suresh ◽

Deepak Iype Koshy

Keyword(s):

Dengue Fever ◽

Dengue Hemorrhagic Fever ◽

South India ◽

Tertiary Care ◽

Hemorrhagic Fever ◽

Alanine Transaminase ◽

Care Centre ◽

Tertiary Care Centre ◽

Factors Associated ◽

Age Range

Background: An understanding of factors predictive of severe forms of dengue fever would be helpful in risk stratification. The objective of the study was to determine incidence of and the factors associated with the development of dengue hemorrhagic fever (DHF) among patients admitted with dengue fever.Methods: Consenting patients were consecutively enrolled in the study and were followed forward in time to establish if they had DHF rather than milder dengue. Several factors were studied to ascertain their relation to conversion to DHF.Results: Cases included were 160 (103 males), with a mean age of 39.4 years (age range: 13-78). Fifty one (32%) developed DHF. On multivariate analysis; hepatomegaly, high alanine transaminase, low serum albumin and systolic blood pressure ≤100 mm Hg were independent predictors for the development of DHF.Conclusions: Nearly a third of patients with dengue fever develop DHF. The predictors identified, should alert the physician to this impending complication.

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Clinical profile of dengue fever infection in patients admitted in tertiary care centre Agroha, Hisar, Haryana, India

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20161776 ◽

2016 ◽

pp. 2146-2149

Author(s):

Mohd Shah ◽

Mohd Naqash ◽

R. Goel ◽

Deepak Galhan ◽

Sunil Kumar ◽

...

Keyword(s):

Dengue Fever ◽

Tertiary Care ◽

Clinical Profile ◽

Care Centre ◽

Tertiary Care Centre

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Clinical profile of dengue fever in a tertiary care centre in North Kerala

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20174172 ◽

2017 ◽

Vol 5 (10) ◽

pp. 4297

Author(s):

Ramesan K. ◽

Ajith Kumar M. K. ◽

Balakrishnan Valliyot ◽

Sudha Balakrishnan

Keyword(s):

Dengue Fever ◽

Tertiary Care ◽

Dengue Shock Syndrome ◽

Hemorrhagic Fever ◽

Clinical Profile ◽

World Population ◽

Care Centre ◽

Tertiary Care Centre ◽

Male Preponderance ◽

One Year

Background: Dengue fever is the most common arboviral disease and fifty percent of world population is at risk. Frequent outbreaks are reported from all states of our country and incidence increases every year. This case study is of 305 patients from Academy of Medical Sciences, which is a tertiary care centre and research Institute in North Kerala. The objective of this study was to study the clinical profile of dengue fever.Methods: Study was prospective observational study conducted during the epidemic for a period of one year. All the cases which fulfilled WHO criteria for diagnosis of dengue fever and those who are positive for IGM antibody detected by enzymelinked immunosorbent assay (IgM ELISA) were only included in this study.Results: There is male preponderance, and those above the age of 30 years affected more. All patients had fever. Gastrointestinal manifestation like nausea and vomiting were commonly observed symptoms. Hepatomegaly, rash and conjuctival suffusion were important physical findings, whereas splenomegaly noted only in 8.2% cases. Thrombocytopenia is noticed in 73.96%.Conclusions: The mortality is 2.6%. Hypotension and thrombocytopenia are the two important determinants of mortality. Dengue Shock syndrome and Dengue Hemorrhagic Fever were relatively less when compared to other epidemics from different regions.

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