A study of clinical profile of dengue fever among adults at RIMS Raichur

 

Chandrashekar^*, Arun M^**, Bhaarath B N K^***

 

 

Abstract              Background and Objectives: Dengue remains as most common mosquito-borne viral illness in humans. Dengue epidemics are reported around the world, but most frequently from the region of South Asia. However, the data of Dengue infection among adults is still limited. This study was done to get additional data on Dengue infection among adults from Raichur. Methods: This study was done in 100 patients >15yrs admitted to RIMS Raichur from June 2017 – June 2018. All patients with clinical features of Dengue infection and positive for Dengue Card Test were taken up for the study. Their Clinical profile, Laboratory data and Outcome were recorded. Results: Out of 100 patients, the no. of patients with Dengue fever (DF) and Dengue haemorrhagic fever(DHF) were 86 and 14 respectively. Most cases were seen in post monsoon period. All patients complained of fever and most common physical sign was Rash (24%). Liver enzymes (ALT and AST) were significantly raised in DHF compared to DF. Thrombocytopenia of < 100,000 was seen in 85% patients. Rashes, malena and hematemesis were the common bleeding manifestations among DHF patients. In Present study, Ascites and Pleural Effusion played a major role in diagnosis of DHF. Conclusion: A total 0f 100 cases with Dengue were analyzed. Results show that DF and DHF were noted in adults particularly during epidemics. Fluid Therapy remains corner stone of management in Dengue Haemorrhagic fever. Early recognition and aggressive management of complications is essential to prevent mortality in adults.

Key Words: Dengue Fever (DF); Dengue Haemorrhagic Fever (DHF).