I LE

OF RE
PR CA
R Y RY
T O TIA
R A R
O TE
AB IN
L R L
D V E I TA
A N E SP
L E O F
A
C GU H
I
L I N EN
C D
OF
D R . K A R T I K PAT E L ( 2 YEAR RESIDENT
N D

M.D.MEDICINE)
U N D E R G U I D A N C E O F D R . H E TA L C H A U H A N ,
S M T. S C L . H O S P I TA L
S M T. N H L . M E D I C A L C O L L E G E ,
 INTRODUCTION

The global incidence of dengue has grown dramatically in recent

time.
India represents significantly a large burden,with reporting of
dengue outbreaks compared to other countries.
The actual number of dengue cases are under reported and many
cases are misclassified.
Dengue infection needs to be addressed as a single disease with
different clinical presentation ranging from asymptomatic
condition to severe clinical courses that may lead to high mortality
and morbidity.
Dengue fever have changing distribution trend and variable clinical
presentation which warrants need of constant study of clinical
profile,laboratory parameters of dengue fever.
 MATERIALS&METHODS

Type of study -Retrospective observational study carried out at

SCL hospital ahmedabad during july 2020 to december 2020.
Study group -indoor paitents of shardaben hospital diagnosed
as dengue fever.
Inclusion criteria -All adult patients admitted with fever and
diagnosed as confirmed cases of dengue fever based on
serology study(s.IgM,IgG,NS1 antigen) not having any
confounding factor such as coinfection,bone marrow
disease,liver disease.
RESULTS
Table 1: Age and sex wise distribution of study population(n=37)

AGE NO.OF NO.OF TOTAL %

GROUP MALE FEMALE
IN YEAR
14-20 1 00 1 2.70%
21-40 12 9 21 56.75%
41-60 9 04 13 35.73%
>60 1 00 2 5.40%
TOTAL% 62.16% 37.83% 37 100%
MEAN
AGE
(MEAN+-
SD)
27.60+-
TABLE 2: DISTRIBUTION OF SYMPTOMS IN DENGUE PATIENTS

SYMPTO N0.OF CASES %

MS
FEVER 37 100%
HEADACH 30 81.08
E
BODYACH 32 86.48%
E
ABDOMIN 20 54.08
AL PAIN
GENERAL 28 75.67
ISED
WEAKNES
S
RETRO 34 91.84
ORBITAL
PAIN
ANOREXI 20 54.05
A
 TABLE3: SEROLOGY IN DENGUE FEVER PATIENTS.
PARAMETER NO.OF DENGUE %
POSITIVE CASES

NS1 POSITIVE 16 43.24

IgG POSITIVE 3 8.10
IgM POSITIVE 8 21.62
BOTH NS1 AND IgM 7 18.91
POSITIVE
BOTH NS1 AND IgG 1 2.70
POSITIVE
BOTH IgM AND IgG 2 5.40
POSITIVE
 TABLE4: LABORATORY FINDING IN DENGUE POSITIVE CASES.

INVESTIGATION CLASS NO OF % MEAN=SD

INTERV CASES(n-37)
AL
HAEMOGLOBIN(gm 7-10 6 61.21 12+-3.53
%)
10-14 30 81.08
>14 1 2.70
TOTAL <4000 7 18.91 7500+-1128
LEUCOCYTE
COUNT
( 1000 MICRO
LITRE)
4000- 19 57.35
11000
>11000 11 29.72
PLATELET COUNT <20,000 2 5.40 12183+-52685
(PER MICROLITRE)
 DISCUSSION
Dengue infection is caused by RNA virus belonging to genus
flavivirus. There are four serotypes of dengue virus.
The infection is transmitted by aedes aegypti mosquito.
Incubation period 4-10 days.
The illness progress through three phases i.e.
Febrile phase,critical phase,recovery phase
Males were affected more than females,this may due to
males are more exposed to mosquitoes in outdoor activity.
Fever was present in all patients.
TLC was variable ranging normal to leucopenia.
Platelet count was ranging normal to
thrombocytopenia.Although, thrombocytopenia was
common in dengue cases but severity does not correlate
with platelet count.
CONCLUSION
IN this study dengue infection was common in
males than females.
commonly affects young population.
Dengue fever has varied clinical presentation ,
laboratory finding &atypical menifestation.
Such atypical presentation may lead to delay in
diagnosis . so,we need to study clinical presentation&
laboratory finding in dengue fever for early diagnosis
and treatment.
THANKYOU