Abstract
Background: Dengue is an important cause of mortality and morbidity in India. Many recent studies have shown varied clinical manifestations from different geographical locations. There is inadequacy of data on this topic from this region. The present study was conducted to find out the clinical features, complications, and outcome of patients suffering from dengue in a tertiary care centre of South Karnataka, India.
Methods: The study was performed at Adichunchanagiri Institute of Medical Sciences, B. G. Nagara, which is a tertiary care hospital of Karnataka. The study period was of 6 months from June 2017 to December 2017. Patients of 18 years of age or above it who were antigen positive or antibody positive were included in the study. All such patients admitted in the hospital underwent distinct medical examination and investigation.
Results: Dengue infection was identified in 60 patients. Thrombocytopenia was the commonest hematological abnormality. Splenomegaly, hepatomegaly, and hepatosplenomegaly, were common findings. Renal, hepatic and cerebral dysfunctions were noted. Mortality was seen in 2 (3.3%) patients. Encephalitis, shock and ARDS were associated with high mortality and poor outcome.
Conclusions: Dengue is an important cause of mortality and morbidity in Karnataka. High index of suspicion, early diagnosis, monitoring of the clinical and laboratory parameters and prompt intervention may help in reducing the mortality.
Keywords: Dengue, Clinical manifestations, Laboratory profile, Karnataka.
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Corresponding Author
Srikanth Goud Mallam
2rd year Junior Resident, Department of Medicine, Adichunchanagiri Institute of Medical Sciences Balagangadharanatha Nagara, Nagamangala, mandya-571448, Karnataka, India