Clinical Profiles of Dengue Infection during an Outbreak in Northern India
Joint Authors
Laul, Anish
Laul, Poonam
Merugumala, Vamsi
Pathak, Ravi
Miglani, Urvashi
Saxena, Pinkee
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-11-29
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Introduction.
Dengue fever is an arboviral disease, which is transmitted by mosquito vector and presents as varied clinical spectrum of dengue fever (DF), dengue hemorrhagic fever (DHF), dengue shock syndrome (DSS), and expanded dengue syndrome (EDS) with atypical presentations, thus posing a diagnostic dilemma.
Unless we are aware of these presentations, diagnosis as well as early initiation of treatment becomes difficult.
We studied the various clinical presentations of dengue infection during an outbreak of disease in 2015.
Materials and Methods.
A total of 115 confirmed cases of dengue infection from Department of Medicine of Deen Dayal Upadhyay Hospital, New Delhi, were enrolled in this observational study.
Results.
The common signs and symptoms of dengue infection were fever, headache, body ache, backache, retro-orbital pain, bleeding manifestations, and rash in 100%, 87%, 86%, 58%, 41%, 21%, and 21%, respectively.
Nonspecific or warning signs and symptoms included vomiting, weakness, abdominal pain, breathlessness, vertigo, sweating, and syncope.
Other possible signs and symptoms of coinfections, comorbidities, or complications included diarrhea, sore throat, and neurological manifestations.
There were seven patients with coinfections and four with comorbidities.
The final diagnosis of these patients was DF (73%), DHF (16.5%), DSS (1.7%), and EDS (4.3%).
Among EDS patients, the atypical presentations included encephalopathy, lateral rectus nerve palsy, acalculous cholecystitis, and myocarditis.
Four patients required ICU care and there was no death in this study.
Conclusion.
Knowledge of atypical presentations is a must for early diagnosis and timely intervention to prevent life-threatening complications.
American Psychological Association (APA)
Laul, Anish& Laul, Poonam& Merugumala, Vamsi& Pathak, Ravi& Miglani, Urvashi& Saxena, Pinkee. 2016. Clinical Profiles of Dengue Infection during an Outbreak in Northern India. Journal of Tropical Medicine،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1110856
Modern Language Association (MLA)
Laul, Anish…[et al.]. Clinical Profiles of Dengue Infection during an Outbreak in Northern India. Journal of Tropical Medicine No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1110856
American Medical Association (AMA)
Laul, Anish& Laul, Poonam& Merugumala, Vamsi& Pathak, Ravi& Miglani, Urvashi& Saxena, Pinkee. Clinical Profiles of Dengue Infection during an Outbreak in Northern India. Journal of Tropical Medicine. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1110856
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1110856