A study of clinical profile of the patients with dengue haemorhagic fever at tertiary health care center
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 7
Abstract
Background: Of the ‘great neglected disease of mankind’, In patients no infection commands so vast a domain as do the dengue virus (DV). Aims and Objectives: To Study Clinical Profile of the patients with Dengue Haemorhagic Fever at Tertiary health care center. Methodology: It was a hospital based prospective study done over a period of one year from 1 July 2015 to 30 June 2016 in the Department of Pediatrics, wanless hospital and Government Medical College, Miraj. Fifty children admitted to pediatric intensive care unit during the above period with clinical diagnosis of DHF/DSS were included in the present study. Children of 1 month to 16 years of age and patients fulfilling WHO criteria for the diagnosis of DHF/DSS were included in the study. Result: Out of 50, 35 (70%) patients aged 6 to 12 years, 9 (18%) aged 13 to 16 years while 6 (12%) aged less than 5 years, youngest being 7-month-old infant. Of total 50 patients, 15 (30%) patients had grade I and 17 (34%) had grade II severity. While 12 (24%) patients had grade III and 6 (12%) had grade IV severity, together called DSS (shock) group. Fever was noted in all 50 (100%) patients. Abdominal pain was complaint in 39 (78%) while vomiting was observed in 31 (62%) patients. Spontaneous hemorrhagic manifestations were seen in 32 (64%) patients. 25(50%) patients complained one or the other symptoms of myalgia, arthralgia or headache. Skin rash was seen in 19 (38%) patients. Altered sensorium was observed in 17 (34%) while 4 (8%) patients had convulsions. Out of 43 patients 23 (53.5%) had moderate grade, 18 (41.85%) had high grade while only 2 (44.65%) patients had mild fever during their illness. Out of 50 patients examined, 36 (72%) patients had hepatomegaly, while only 8(16%) patients had spleenomegaly, pleural effusion and ascites were seen in 34 (68%) and 33 (66%) cases respectively. Tourniquet test was positive in 29 (58%) patients. 18 (36%) patients had evidence of circulatory failure (Shock).
Authors and Affiliations
Bhavesh B Shah, Sara Dhanawade
Keywords
Related Articles
- EP ID EP268060
- DOI -
- Views 79
- Downloads 0
Assessment of quality of life among plantation workersusing WHOQOL-BREF
Introduction: The progress to evidence based practice of medicine implies the need for shift from recognizing disease to risk factor identification for early preventive management. Health status measures, which are multi...
Sutika Paricharya according to various Samhita
Ayurveda give importance to the care of mother at every phase of her life especially in antenatal and postnatal care. A postnatal period is the period beginning immediately after the separation of placenta and extending...
Trends of road traffic incident cases brought for medicolegal autopsy at Jorhat Medical College and Hospital, Jorhat, Assam
With the increase in the number of vehicles and their use in various spheres of day to day activities there has been a massive bonding between man and vehicle which has also led to conflicts in the form of accidents caus...
A study of various side effects of combined ECT plus pharmacotherapy in psychiatric patients
Introduction: D. N. Nandi (1950) was perhaps the first in India who documented physical and psychological side effects of Electroconvulsive Therapy. Only 6% of his 150 patients had physical complications like dislocation...
Study of role of thrombocytopenia in predicting the severity of preeclampsia
Introduction: Preeclampsia thrombocytopenia (PIH) is defined as hypertension (HTN) that occurs in pregnancy for the first time after 20 weeks of gestation, disappearing following delivery of the baby. PIH is the most com...