A Clinico- Haematological Profile of Dengue Fever among Pediatric Patients in a North Indian Tertiary Hospital:

Mahima Bansal; Manish Agrawal

doi:10.21276/ajcpn.2019.7.1.13

Mahima Bansal Post Graduate Student, Department of Pediatrics, Saraswathi Institute of Medical Sciences, Hapur, Uttar Pradesh, India.
Manish Agrawal Professor and Head, Department of Pediatrics, Saraswathi Institute of Medical Sciences, Hapur, Uttar Pradesh, India.

DOI: https://doi.org/10.21276/ajcpn.2019.7.1.13

Keywords: Dengue, Fever, Pediatric patients

Abstract

Background: Over the years, Dengue fever outbreaks are increasing both in number and distribution in India. Subjects and Methods: In this study all probable cases of dengue fever in age group 2-14 years were included in study. Their detailed clinical and laboratory profile were recorded in pre designed proforma. Cases were classified according to WHO 2009 classification. Patients with positive for Dengue markers (IgM/NS1 antigen) are considered as Dengue fever. Results: Total of 50 cases were included in the study out of these 56% were males and 44% were females with majority of them were in 6-14 years of age. Majority of patients presented with headache (88%) followed by muscular pain(82%). Hess test, positive in (24%), with Spleenomegaly in 16% and Hepatomegaly in 14%. Lab parameters revealed thrombocytopenia and leucopenia. Only 2% patient expired with 88% were discharged with improvement. A total of 38% subjects had dengue like fever, 26% subjects presented with dengue, 34% had dengue with warning signs and 2% subjects had severe dengue. Conclusion: Dengue fever can presents with varied clinical and laboratory manifestation. Early diagnosis and appropriate management can reduce morbidity and mortality markedly.

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