Atypical Manifestation of Dengue: Clinical Profile and Outcome in a Tertiary Care Hospital of Eastern India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 9
Abstract
Background and Objective: Dengue, a mosquito –borne arboviral illness, may present with many atypical manifestations. Methods: Children ( 0-12 years of age) admitted into Pediatric Intensive care unit of a tertiary care hospital Kolkata, between the 1st August 2016 to 30th November 2016, diagnosed and confirmed as dengue fever following revised a WHO guideline, were reviewed retrospectively. Atypical manifestations were noted and analyzed. Results: Atypical manifestations were found in 61.11% of cases. Those were increased level of hepatic transaminases (22.22.% ), acute respiratory distress syndrome (5.56%), pulmonary hemorrhage (16.67%), acalculus cholecystis (16.67%), acute pancreatitis(5.56%), acute renal failure (5.56%), myocarditis (5.56%), intracranial hemorrhage (5.56%) and cerebral demyelination (5.56%). Overall survival was 77.78%. Conclusions: Atypical manifestations in dengue, though rare, could be present along with the classical manifestations. A high index of suspicion and vigilance can lead to an early and prompt diagnosis and appropriate management for the life threatening disease.
Authors and Affiliations
Dr Sarbani Misra MD, Sumantra Sarkar MD, Arpan Saha
Keywords
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- EP ID EP255744
- DOI 10.9790/0853-1609023437
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