Clinical manifestations and trend of dengue cases admitted in a tertiary care hospital, Udupi district, Karnataka

Abstract

Background:India is one of the seven identified countries in the South-East Asia region regularly reporting dengue fever (DF)/dengue hemorrhagic fever (DHF) outbreaks and may soon transform into a major niche for dengue infection in the future with more and more new areas being struck by dengue epidemicsObjective:To study the clinical manifestations, trend and outcome of all confirmed dengue cases admitted in a tertiary care hospital.Study Design:Record-based study conducted in a coastal district of Karnataka. Required data from all the laboratory confirmed cases from 2002 to 2008 were collected from Medical Records Department (MRD) and analyzed using SPSS 13.5 version.Results:Study included 466 patients. Majority were males, 301(64.6%) and in the and in the age group of 15-44 years, 267 (57.5%). Maximum number of cases were seen in 2007, 219 (47%) and in the month of September, 89 (19.1%). The most common presentation was fever 462 (99.1%), followed by myalgia 301 (64.6%), vomiting 222 (47.6%), headache 222 (47.6%) and abdominal pain 175 (37.6%). The most common hemorrhagic manifestation was petechiae 84 (67.2%). 391 (83.9%) cases presented with dengue fever, 41 (8.8%) dengue hemorrhagic fever, and 34 (7.3%) with dengue shock syndrome. Out of 66 (14.1%) patients who developed clinical complications, 22 (33.3%) had ARDS and 20 (30.3%) had pleural effusion. Deaths reported were 11(2.4%).Conclusion:Community awareness, early diagnosis and management and vector control measures need to be strengthened, during peri-monsoon period, in order to curb the increasing number of dengue cases.

A Hospital Based Serosurveillance Study of Dengue Infection in Jaipur (Rajasthan) , India

“…Our findings were contrary to those of some Indian studies which had reported the vulnerability of children to dengue infection [6,17,21]. However, a few hospital based studies have similarly reported increasing infection rates among adults [22][23][24].…”

Trend in Sero-Prevalence of Dengue Infection in Rural Kerala

“…This explains the availability of health care facilities and utilization of these facilities by the local population is good. A higher occurrence of dengue infection was noted among males in our study which is similar to studies conducted earlier (Garg et al, 2011;Kumar et al, 2010). However, this was discordant with the other study where a female predominance was noticed (Gunasekaran et al, 2011).…”

Changing Trends in Clinical Presentation and Biochemical Spectrum of Dengue Fever: An Observation of a Tertiary Care Centre

“…Patients in the group with rash and conjuctival injection were the ones with features of DHF. Kumar et al (8) in their study documented that headache was present in 47.6% and rash in 21.7% of patients. Other than the above-mentioned symptoms, gastrointestinal symptoms were more prevalent, of which abdominal pain was present in 42.5% and nausea/vomiting in 28.7% of the study population.…”