Prospective study on the clinico-hematological profile of dengue fever patients in Navi Mumbai

Authors

  • Prachi Sankhe Department of General Medicine, D. Y. Patil Hospital and Medical College, Navi Mumbai, Maharashtra, India
  • Priyanka Jadhav Department of General Medicine, D. Y. Patil Hospital and Medical College, Navi Mumbai, Maharashtra, India
  • Praveen Meduri Department of General Medicine, D. Y. Patil Hospital and Medical College, Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-3933.ijam20211057

Keywords:

Dengue, Hematological, Outcome, Mortality

Abstract

Background: It has been seen that epidemiology and clinical presentation of dengue infection differs significantly across geographical areas. The present study was done to study clinico-hematological profile of patients with dengue fever in Navi Mumbai, Maharashtra.

Methods: This prospective observational study was conducted at a tertiary level teaching hospital in Navi Mumbai. All patients were observed over their entire duration of their hospital stay (up to 7 days). We included adult patients of both gender (males or females) who were admitted with clinically and serological diagnosed dengue fever, consenting to participate in the study.  The clinical, laboratory and radiological findings of the patients were noted.

Results: All 80 patients presented with fever while 71.25% had myalgia. Retro-orbital pain, rash and vomiting was observed in 38%, 26% and 26% respectively, whereas 23.75% patients were having cough and bleeding from any site. Three fourths of the patients were diagnosed with dengue, 18.75% and 6.25% were diagnosed with DHF and DSS. respectively. Hepatosplenomegaly was increasing from day 1 (9%) to 6th (60%) and 7th (60%) day. Mean haemoglobin levels and haematocrit started increasing from second day onwards, while WBC count and platelet count increased gradually from first day onwards. Splenomegaly was diagnosed in 3.75% of patients while hepatosplenomegaly and fatty liver was observed in 8.75% and 2.5% respectively. There were two deaths, both were cases of DSS.

Conclusions: Almost all the patients included in our study showed both haematological and biochemical abnormalities.

 

References

Bhave S, Rajput C, Bhave S. Clinical profile and outcome of dengue and dengue hemorrhagic fever in paediatric age group with special reference to who guidelines (2012) on fluid management of dengue fever. Int J Advanced Res. 2015;3(4):196-201.

Chaudhuri M. What can India do about dengue fever? BMJ. 2013;346:f643.

Doke PP, Pawar S. Profile of Dengue Fever outbreaks in Maharashtra. Indian J Community Med. 2000;25(4):170-76.

Dean AG, Arner TG, Sunki GG, Friedman R, Lantinga M, Sangam S, et al. Epi Info™, a database and statistics program for public health professionals. CDC, Atlanta, GA, USA, 2011.

Oza JR, Kanabar BR, Patel UV, Gajera KD, Thakrar DV, Jogia AD. Clinico-Haematological Profile and Outcome of Dengue Fever Cases Admitted In 2014 at Tertiary Care Hospital, Rajkot, Gujarat. Natl J Community Med. 2017;8(6):320-3.

Prasad N, Kumari MK. Prospective study on clinical and hematological profile of dengue infection cases in a teaching hospital in Bachupally Area, Hyderabad, Telangana. Int J Contemporary Med Surg Radiology. 2020;5(1):43-46.

Nair KR, Oommen S, Pai V. Clinico-Hematological Profile of Dengue Fever during the Monsoon of 2016 in Central Kerala. Int J Health Sci Res. 2018;8(12):18-24.

Ramesan K. Clinical profile of dengue fever in a tertiary care centre in North Kerala. Int J Res Med Sci. 2017;5(10):4297-301.

Meena KC, Jelia S, Meena S, Arif M, Ajmera D, Jatav VS. A study of hematological profile in dengue fever at a tertiary care center, Kota Rajasthan. Int J Adv Med. 2016;3(3):621-4.

Khatroth S. A Study on Clinical and Hematological Profile of Dengue Fever in a Tertiary Care Hospital. IAIM. 2017;4(8):96-102.

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Published

2021-03-23

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Section

Original Research Articles