Dengue infection presents varied clinical manifestation ranging from asymptomatic or simple viral illness to circulatory shock (DSS), severe bleeding and death. So,early diagnosis and recognition of complication is a cornerstone in management. It is prospective observational study which was conducted in KVG medical college. With inclusion of 100 cases all seropositive for dengue antigen or antibodies or both and platelet count less than 1 lakh/cumm. Done from October 2022 till September 2023.Chis quare test was used for data analysis. The study was mainly focused on bleeding manifestations, to find correlation between platelet count and bleeding manifestations. Routine investigations that include CBC with ESR, RUE, ECG, Dengue serology(NS1, igm, igg), RFT,LFT, serum electrolytes. Coagulation profile was done in suspected dhf patients. Leucopoeniais taken below 4000cells/cumm. Out of 100patients, 88 were classified under dengue fever with/without haemorrhage and rest 12 were classified into Dengue haemorrhagic fever as per WHO criteria. The presenting symptoms were: fever (97%),headache (78%), retroor bital pain (32%), myalgia (72%), arthralgia(52%), nausea(62%), Vomiting (39%), abdominal pain (56%), diarrhoea (15.2%), bleeding manifestations (42%). The major physical findings noted included positive tourniquet test (21%), hepatomegaly (15%),bradycardia (18%), pleural effusion (6%) and ascites (11%). The study concluded that there was no association between bleeding manifestation and platelet counties bleeding can happen at any level of plate lets count. Hence prognostication based on platelet count can’t be done.
Original Article
English
P. 119-123
