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Volume 7 Issue 2 (February, 2019)

Original Articles

Clinical Profile of Patients with Dengue Infection at a Tertiary Care Center of North India
Mohan Lal Kanojia, Deepak K. Gautam, Pankaj K. Mishra

Background: Dengue fever has gained importance over the last few years as there have been significant increase in its number. The present study aimed to record the clinical profile of dengue fever in adult population attending a tertiary care facility. Materials & Methods: The present study was conducted on 120 cases of dengue fever who reported to the Emergency and department of Internal Medicine, Mayo Institute of Medical Sciences, Barabanki, Uttar Pradesh. The confirmations of dengue were made through estimation of NS1, IgG and IgM. Patients were classified based on the WHO criteria as follows: Dengue Fever (DF); Dengue Fever with unusual Bleed (DFB); Dengue Hemorrhagic Fever (DHF) and Dengue Shock Syndrome (DSS). Results: Out of 120 patients, males were 72 (60.0%) and females were 48 (40.0%). Patients were classified as - dengue fever (n = 88), dengue fever with unusual bleed (n = 16), dengue hemorrhagic fever (n = 9) and dengue shock syndrome (n = 7). Common clinical symptoms were fever in 112, myalgia in 65, arthralgia in 43, abdominal pain in 38, vomiting in 41, anorexia in 72, altered taste in 15, skin rashes in 27 and decreased urine output in 62. Common signs in descending order of frequency were jaundice seen in 67, petechiae in 52, hepatomegaly in 52, ascites in 47, shock in 35 and bradycardia in 19 patients. Common radiological findings were left sided effusion in 15 cases, right sided effusion in 12 and both left and right sided effusion in 20 cases. Conclusion: We found that dengue infection is one of the common cause of acute febrile illness during the post rain months in India. Common symptoms were fever, myalgia, arthralgia, abdominal pain, vomiting, anorexia, altered taste, skin rashes and decreased urine output. Key words: dengue infection, myalgia, arthralgia.

 
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