Online ISSN: 2515-8260

Clinical correlates of severe dengue fever in children admitted at a tertiary care hospital

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1Dr.Sudhakar Hegade, 2Dr.Karthikeyan, 3Dr.Prabhakar B Hegade

Abstract

It is the most common and widespread arboviral infection in the world today caused by Dengue virus. Dengue viruses (DV) belong to the family Flaviviridae and there are four serotypes of the virus referred to as DV-1, DV-2, DV-3 and DV-4.The course of the disease has changed in the recent years from milder form to severe form like dengue hemorrhagic fever & severe dengue fever and with increasing outbreaks frequency.Data was collected by face to face interview from the parents of the children admitted in pediatric emergency ward with diagnosis of dengue fever and severe dengue fever in Department of pediatrics. The presence of bleeding manifestations like melena, epistaxis, hematemesis, petechiae, hematurias more in DF with warning signs(37.5%) and Severe dengue fever(55.6%). There is significant association between bleeding manifestations and severity of dengue fever(p<0.001). Thrombocytopenia was found in 83.8% in dengue fever, 93.8% in DF with warningsignsand81.5%inseveredenguefeveranditisnotstatisticallysignificant(p=0.308).

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