4th Pediatric Infectious Diseases Conference
 
 
Home  Back   ISSN 0973 - 0958
 
User name :
Password :
Unusual Manifestations Of Dengue Fever
Follow Us : Follow On Facebook Follow On Twitter Follow On Youtube
UNUSUAL MANIFESTATIONS OF dengue fever 4 YEAR RETROSPECTIVE STUDY At KLEs Hospital, Belgaum

Authors: Dr. Dinesh N., Dr. V.D.Patil, M.D.D.C.H., Dr. N.S.Mahantshetti, M.D.
Dept. of Pediatrics, JNMC, Belgaum


Introduction :


   Severe dengue infections can give rise to unusual manifestations such as myocarditis, encephalitis, acute fulminant hepatic failure, and persistent thrombocytopenia. Although these manifestations are rare, in recent years they have been reported with increased frequency. They tend to occur in younger age group and have a high mortality.

Aims and objectives :


   To study unusual manifestations and their significance in dengue fever.

Subjects & Methods:


    61 serologically confirmed cases of dengue fever reported at KLES Hospital attached to J. N. Medical College, Belgaum between August 2001 to 2005 were retrospectively studied for unusual manifestations.

Results:


   85 children were clinically suspected to be suffering from dengue fever. Out of 61 serologically confirmed cases, 16 had unusual manifestations (26%) 9 were classified as DHF. 3 where DSS. 3 were DFB and one was DF. 11 cases (68.75%) were considered as secondary infection and 5 cases (31.25%) were primary. Mean age of presentation was 5 years. 9 were males and 7 females.
   Dengue myocarditis - 07 • Dengue encephalopathy - 01 • Dengue encephalitis - 02 • Intracranial bleed - 02 • Acute fulminant hepatic failure - 02 • Persistent thrombocytopenia (more than 10 days) - 02.
   Mortality rate was high (36%) among those who presented with unusual manifestations. Prolonged shock, metabolic acidosis hyponatremia and DIC were associated with poor prognosis

Conclusion:


    Dengue fever can present with variety of unusual manifestations. They tend to occur in younger age group and had high mortality. In endemic areas, dengue should be considered in children who present with clinical features of myocarditis, encephalitis, encephalopathy, fulminant hepatic failure and persistent thrombocytopenia.

Last Updated on 01-1-2006

How to cite this url
Karnataka Pedicon 2005 - Conference Abstracts.Pediatric Oncall [serial online] 2006 [cited 01 January 2006];3. Available from:
http://www.pediatriconcall.com/fordoctor/Conference_abstracts/
dengue_fever.ASP
 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
Educational Section
 
Disclaimer:
The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.
 
copyright ©2011 website design & development by Levioza
Follow Us
Follow us on :
Folllow Us