Sonological Markers for Assessment of Dengue Fever with Serological Correlation

Sonological Markers for Assessment of Dengue Fever with Serological Correlation

  • Ashish Kumar Shukla Associate Professor, Department of Radio diagnosis, Santosh Medical College and Hospital, Ghaziabad
  • Sagar Tomar Assistant Professor, Department of Radio diagnosis, Santosh Medical College and Hospital, Ghaziabad
  • Ashok Kumar Professor, Department of Medicine, Santosh Medical College and Hospital, Ghaziabad
  • P.K Gupta Professor, Department of Radio diagnosis, Santosh Medical College and Hospital, Ghaziabad

Abstract

Background: Dengue, a viral infection has become a major public health problem with epidemic outbreaks worldwide. Ultrasound (US) is used as screening modality in all patients presenting with fever and abdominal pain. The study was to establish the Ultrasound features of dengue fever and correlate Ultrasound findings with platelet counts in serologically positive cases. Subjects and Methods: A cross sectional study of 104 patients carried out during dengue epidemic in 2015 in Delhi and NCR. Patients of all age groups were included in the study. Ultrasound of abdomen and chest was performed on 3- 7th day of fever and sonographic features were recorded.Results:Mean age of patients was 29.9 ± 15 years with 48 (47 %) males and 56 (53 %) females. Maximum number of patients belonged to age group of 21-30 years (32%). The Gall bladder (GB) wall thickening was noted in majority 81 (77.8 %) of the study subjects followed by Ascites in 64 (62.7%), bilateral pleural effusion 32 (31.3 %), unilateral pleural effusion 24 (23.5 %), Splenomegaly in 16 (15.0%) subjects and Hepatomegaly in 10 (9.8%).The sonographic abnormalities including Gall bladder wall thickening, ascites, pleural effusion, Splenomegaly, Hepatomegaly were significantly higher in study subjects with decreased platelet count. Although Gall Bladder wall thickening was the commonest finding in 77.8 % subjects, Ascites was the commonest finding in 48 (82.7%) study subjects with platelet count between 0-50000 indicating that ascites was a better prognostic indicator than Gall bladder thickening in cases of dengue fever.Conclusion: Its rapidity, ready and widespread availability not only makes Ultrasound as a primary modality of diagnosing dengue fever before the results of serological tests are available, it can also be used as mainstay investigation in epidemic regions for recognizing critically ill patients requiring early and prompt management.

Published
2020-01-08
How to Cite
Ashish Kumar Shukla, Sagar Tomar, Ashok Kumar, & P.K Gupta. (2020). Sonological Markers for Assessment of Dengue Fever with Serological Correlation. Asian Journal of Medical Radiological Research, 7(2), 133-137. Retrieved from http://aijournals.com/index.php/ajmrr/article/view/1270
Section
Articles