Title: Clinical and Investigational Profile of Adult Patients Suggestive of Dengue Fever at Teritiary Care Mamata General Hospital

Authors: Dilip M Rampure, Rajhounsh V, Subash Dasarapu

 DOI:  http://dx.doi.org/10.18535/jmscr/v3i10.59

Abstract

Introduction: Dengue fever epidemic s have been causing major concern in India, many parts of India are endemic for the dengue. Dengue is mosquito borne infection caused by 4 distinct serotypes deny-1, v-2, v-3, v-4.v-3 is most prevalent serotype in last few years. Dengue illness often confused with other febrile states, this difficulty is especially striking during early phase of illness, when non specific clinical symptoms accompany the febrile illness.

Objective: Objective of the study is to document various clinical manifestations and laboratory parameters of all dengue cases.

Materials And Methods:  Study conducted at Mamata general hospital during june2014-july 2015.This is a prospective study conducted on 100 cases who were presented with fever and admitted in hospital. A detailed history and clinical examination findings were recorded and all cases were subjected to laboratory investigations. Which included complete heamogram, mean plc, mean hematocrit, mean hb. all the patients were treated symptomatically.

Results: Among 100 serologically confirmed dengue cases the male and female ratio was l:l. the most common age group affected was 21-30years and most common presenting complaint was fever seen in 98%.mean duration of fever was 6.1 day. Among the cases 56% developed thrombocytopenia. In them 2 patients were having plc of 20000. Among 56% 3 cases developed DHF and DSS, 4 cases developed bleeding manifestations. 39% developed leucopenia.

Conclusion: This study showed that most common presentation was fever and 56%patients presented with thrombocytopenia but rarely developed bleeding manifestations and complications. cases developed bleeding manifestations. 39% developed leucopenia.

Keywords: Dengue fever, thrombocytopenia, hemogram

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Corresponding Author

Dr Subash.Dasarapu

Department of General Medicine, Mamata General Hospital, Khammam

Telangana 507002, india

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