Title: An Observational Study on Serum Ferritin Level in Dengue Fever and Its Correlation with Severity of Dengue Fever

Authors: K. Gokul Bharathi, R Aswinth, S. Sudarshan

 DOI: https://dx.doi.org/10.18535/jmscr/v7i10.105

Abstract

  

Aims and Objectives: To study the serum ferritin level in dengue fever and its correlation with severity of dengue fever

Methods: The study was performed on patients admitted for dengue fever in Rajah Muthiah Medical College and Hospital under the Division of General Medicine from October 2017 to September 2019.After satisfying the inclusion and exclusion criteria 50 dengue IgM positive patients were included in this study. Their serum ferritin levels on the day of admission was measured. The relationship between serum ferritin levels and platelets and severity of dengue fever was observed

Results : There was significant correlation between serum ferritin levels and thrombocytopenia (p=0.006).Patients with increased ferritin levels had significant decrease in platelet count. Bleeding tendencies were found to be higher in patients who had increased ferritin levels and thrombocytopenia.

Conclusion: Serum ferritin levels were increased in dengue fever. Patients with high ferritin levels were found to have increased incidence of thrombocytopenia. Hence high ferritin levels can be used as a indicator for assessing disease severity and prognosis of dengue fever patients. Those patients with high serum ferritin levels should be monitored carefully.

References

  1. Hardcover, Fauci Anthony MD, Dennis Kasper, Stephen Hauser. Principles of Internal Medicine, Vol.2, Harrisons 19th Edition, Page 319.
  2. Working to overcome the global impact of neglected tropical diseases [Internet]. www.who.int. 2010 [cited 30 March 2018]. Available from: http://whqlibdoc.who.int/publications/2010/9789241564090_e ng.pdf
  3. Back AT and Lundkvist A, Dengue viruses – an overview. Infect Ecol Epidemiol 2013; 3; 10 -13.
  4. Wang SM. Sekaran SD, Early diagnosis of Dengue infection using a commercial dengue Duo rapid test kit for the detection of NSI, IgM, IgG, AM J tro Med Hyg 2010; 83: 690-95.
  5. Samanta J and Sharma V, Dengue and its effects on liver. World J Clin cases 2015; 3; 125 – 31.
  6. Lee LK, Gan VC Lee VJ, Tan AS, Leo YS, Lye DC. Clinical relevance and discriminatory value of elevated liver aminotransferase levels of Dengue severity. Plos Negl Trop Dis 2012; 6; e1676.
  7. Soundaravally R, Ageishkumar B, Daisy M, Sherin J, Cleetus CC, Ferritin levels predict sever dengue. Infection 2015; 43 ; 13-19.
  8. Soumyabrata Roy chauduri et al. Serum ferritin a backstage weapon in Diagnosis of Dengue fever: Interdisciplinary perspectives on infectious diseases, Vol (2017), article Id : 7463489:
  9. Ho. S. Wang, R. Anderson , C. Liu, Antibodies in dengue immunopathogenisis, Journal of Formosan Medical Association, Vol 112; no.1; pp 1-2; 2013.
  10. Muhammad Nadeem et al, Serum Ferritin: an indicator of disease severity in patients with dengue infection. Jouranl of Rawalpindi Medical College (JRMC); 2016; 20(3); 165 – 167.

Corresponding Author

K. Gokul Bharathi