“Clinical Profile of Dengue Fever in Children: A study in dhaka shishu(children) hospital, Dhaka, Bangladesh”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Dengue is a mosquito-borne viral disease that has rapidly spread in all regions of world health organization (WHO) in recent years. Dengue virus is transmitted by female mosquitoes mainly of the species Aedes aegypti and, to a lesser extent, Aealbopictus. Children are the usual victim of dengue infection, there is paucity of published data regarding dengue infection in children in our country. We conducted a cross sectional descriptive study in the Dept. of paediatrics, Dhaka shichu(children) hospital, Dhaka Bangladesh during the period from January 2018 to November 2018 among the children having Dengue infection and who were admitted in the selected hospital. Eighty two (82) patients were enrolled in our study by using a purposive sampling technique. A detailed history was taken; clinical examinations and relevant investigations were done in every patient. The mean age of the patients was 6.5±3.5 years with almost similar male and female ratio. Among eighty two (82) patients, 41.47% presented with dengue fever (DF), the rest (58.53%) presented with dengue haemorrhagic fever (DHF). Most of the patients presented with high grade continued type of fever (71.95%), followed by vomiting (64.63%), abdominal pain (59.75%), Itchy rash was the most important characteristic signs (69.51%). Flushed appearance observed in 56.09%, subconjunctival haemorrage was (29.26%). Platelet count less than 100X109 /L were found in 37.80% patients. Tourniquet test was positive in 37.80% of cases. All of the patients had packed cell volume (PCV) less than 45%. Raised serum alanine aminotransferase (ALT) was observed in 45.12% of children. IgM or/with IgG antibodies for dengue virus were positive in 100% patients. Majority (97.56%) of the patients completely recovered from the disease and only 2.44% died. High grade continued fever, vomiting with abdominal pain and itchy skin rash (with normal platelet count) were the presenting features.
Authors and Affiliations
Md. Atiqul Islam, Jasmin Ahmed, Md. Abdur Rouf, Tanzila Farhana, Md. Tazul Islam
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