A study of Clinical Profile of patients with Dengue fever

Abstract

Background: Dengue fever with estimated 50-100 million infections and 2,00,000 – 500000 cases of DHP per year. Case fatality rate is around 5%.4 So early diagnosis and initiation of treatment of Dengue fever prevents mortality and morbidity resulting from DHF and DSS. Objective: To study the clinical profile of patients with dengue fever Methods: Patients admitted in medicine wards during the study period with the history of fever with other non specific symptoms were included in the study. Data was collected in a pretested proforma by meeting objectives of the study hundred patients who fulfilled WHO criteria for dengue were selected by simple random sampling method. The clinical history, physical findings and laboratory investigations that help in diagnosis of dengue fever were analyzed and recorded. Results: In the present study, there were 78 males and 22 females and sex ratio is 3:5:1. In our study, out of 100 patients 99 showed leucopenia and 10 were anaemic and 25 showed platelet count less than 1,50,000 cells/cumm. In our study 17 patients showed hepatic dysfunction who improved after fluied rescuscitition and abnormal coagulation profile was noted in 18% of patients, and 6% patients were in acute renal failure who improved after fluid rescuscitition without dialysis. 4% of patients developed ARDS. But none of them survived inspite of possible treatment. Conclusion: Dengue fever has become major health problem in developing countries like India. Hence early diagnosis and initiation of treatment of dengue fever prevents mortality and morbidity as a result of DHF and DSS.

Keywords

• dengue fever
• health problem
• morbidity