Study of dengue fever in Bihar population at a tertiary care centre (JLNMCH, Bhagalpur)

 

Amrendra Kumar Singh¹, Gagan Gunjan², Rajkamal Choudhary³, Ajay Kumar⁴

 

Abstract              Background: Dengue fever has spread globally, especially children are more susceptible to this mosquito bite infectious disease. As this disease has different clinical manifestations hence it is compulsory to update the clinical profile and laboratory investigation to rule out different stratification of patho- physiological status. Method: The blood samples of clinically suspected were tested by Rapid card test, NS1 Ag and detection of IgM , IgG antibodies to dengue virus. Chest X-ray was also done if there was suspicion of ascitis and pleural effusion. USG was done in severe Nausea and vomiting patients to rule out the complications. Results: Fever – 75 (100%) headache 73 (97.3%) Body ache 72 (96%) Abdominal Pain 68 (90.6%) Retro – orbital pain 36 (48%) Dry cough 35 (45.3%) Anorexia, Nausea 10 (13.3%) Diarrhoea 10 (13.3%) vomiting 12 (16%) Rash (Prurtis) 7 (9.33%). Joint pain 5 (6.66%) Malena 4 (5.33%). Hypotension 6 (8%) Feeble pulse pressure 6 (8%) Tourniquet test was +ve. pleural effusion 4 (5.33%, Ascitis 7 (9.33%) oedema of Gallbladder 3 (4%), Icterus 2 (2.66%) altered sensorium 2 (2.66%) leucopoenia 62 ( 86%), Thrombocytopenia 62 (86%) S. Creatinine 6 (8%). NS1 +ve patients 63 (84%). IgM 5 (6.66%), Mixed (NS1/IgM/IgG) 7 (9.33%). Conclusion: The present study of DF will be quite useful to prognosticate the morbidity and mortality of the patients.

Key Words: Dengue Fever, Dengue Haemorrhagic Fever ,Thromboyctopenia, Female Aedes aegypti Mosquito.