International Journal of Tropical Medicine
ISSN: Online 1818-779XISSN: Print 1816-3319
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Clinical Study of Various Clinical Presentations of Dengue Viral Infection in Paediatric Age Group at a Tertiary Hospital
L. Chairman Muthu Prem Kumar, Chandrakanth Mahale, Ravi Sahota and Sam Ahuja
Page: 129-136 | Received 16 Mar 2024, Published online: 15 May 2024
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Abstract
Dengue fever is usually a benign syndrome caused by an arthropod borne virus. This study reviewed the common clinical features, various laboratory investigations, radiological factors and management in cases of dengue fever. The timely appropriate management of dengue fever can considerably reduce both morbidity and mortality. Present study was hospital based, prospective, observational study, conducted in children (1 month‐15 years age) with serologically confirmed (either with positive NS1 antigen or IgM/IgG antibodies by rapid serology test kit or ELISA) dengue admitted to the paediatric ward. The common chief complaints were fever, vomiting, refusal to feed, headache, bleeding tendency abdominal pain. The common significant general examination findings were tachypnea, petechiae rash. In our study significant systemic examination findings were free fluid in the abdomen less commonly seen was hepatomegaly and abdominal tenderness. The common laboratory findings were thrombocytopenia, raised SGPT, leukopenia and both IgG and IgM antibody positive. In our study distension of the abdomen was significantly related with abdominal fluid collection. The bleeding manifestations correlated with high levels of SGPT. But it was independent of thrombocytopenia, hepatomegaly and secondary infection. The risk factors of DHF/DSS were vomiting, myalgia, rash, retro‐orbital pain, petechiae, malena, edema, abdominal pain, hepatomegaly, free fluid collection in abdomen, pleural effusion, thrombocytopenia raised SGPT. In our study IVF and antipyretics were given to all patients. Platelets and whole blood was given in 20% and 13.3% respectively. Inotropic drugs were mainly required in DSS cases. DSS patients required more supportive therapy in the form of blood component therapy together with inotropic supports. Early diagnosis, appropriate investigations, strict monitoring and prompt supportive management go a long way in reducing mortality in dengue.
How to cite this article:
L. Chairman Muthu Prem Kumar, Chandrakanth Mahale, Ravi Sahota and Sam Ahuja. Clinical Study of Various Clinical Presentations of Dengue Viral Infection in Paediatric Age Group at a Tertiary Hospital.
DOI: https://doi.org/10.36478/10.36478/makijtm.2024.2.129.136
URL: https://www.makhillpublications.co/view-article/1816-3319/10.36478/makijtm.2024.2.129.136