Clinical profile and outcome of critically sick patients of dengue, admitted in PICU of a tertiary care center.
Journal Title: Journal Of Pediatric Critical Care - Year 2016, Vol 3, Issue 4
Abstract
Background:India is among the countries reporting regular outbreaks of Dengue infection. Present study describes clinical profile and outcome of severe dengue cases. Methods:It is a retrospective observational study. All dengue patients admitted in PICU, from June 2015 to December 2015 were classified as per new WHO-2009 classification, and only those with severe dengue were included in the study. Clinical features, laboratory parameters and final outcome were studied and described. Results:Fever, pain abdomen and vomiting were found to be most common presenting symptoms. Thrombocytopenia was found in 100% cases and leukopenia in 20% cases. Shock was present in all the patients and average time taken for shock reversal was 2.4 days. Hepatitis (68.5%), AKI (54%) and encephalitis (14.2%) were the main complications. Survival rate was 91.4%. Conclusion:renal and CNS involvement is more common in dengue then previously reported. Use of inotropes and mechanical ventilation are associated with higher mortality.
Authors and Affiliations
Vikram Bhaskar, Jeedan Hemrom, Virender Kumar, Sandeep Kumar, Viswas Chhapola
Keywords
Related Articles
- EP ID EP339573
- DOI 10.21304/2016.0304.00140
- Views 77
- Downloads 0
Evaluation Of The Prognostic Score Chart For The Prediction Of Development Of Profound Shock In Children Presenting With Dengue Shock Syndrome : A Cross Sectional Study
.
India in Forefront of Pediatric Critical Care Research
.
Not all 'Septic Shock ' is due to infection !
We describe a case of Atypical Kawasaki disease presenting as septic shock in a 3 month old male baby. Atypical Kawasaki disease should be considered in all infants with unexplained fever for ≥5 days associated with 2 or...
Journal Scan- Critical Care Nephrology
-
Heart Transplantation in Pediatrics
.