Study of clinico-haematological profile in dengue fever - A prospective study

 

 

Abstract              Background: Dengue fever with its severe clinical manifestations as dengue haemorrhagic fever and dengue shock syndrome has emerged as a major health problem of international concern. We commonly see patients referred in view of dengue serology positive without warning signs and non severe dengue. Hence the present study is planned to study various clinical manifestations of dengue and analyse the haematological parameters of the same. Methodology: This is an observational study and conducted prospectively total of 100 cases with fever and dengue serology positive were studied. Results: In our study, bradycardia documented in 39% of cases, leucopenia seen in 53% of cases, thrombocytopenia of less than 1lakh is found in 74% of patients, Haematocrit of less than 40 found in 44% of patients, dengue fever diagnosed in 69% of cases followed by dengue haemorrhagic fever diagnosed in 23% and dengue shock syndrome in 8% of cases. Conclusion: Majority of cases are still DF, requires only supportive management and not requiring platelet transfusion. So most of the cases should be managed at the local hospital without referring, to reduce cost burden on patients. Early recognition of warning signs and meticulous management reduce the morbidity and mortality of dengue.

Key Word: dengue fever.