Volume : 3
Issue : 1
Online ISSN : 2581-4702
Print ISSN : 2581-4699
Article First Page : 10
Article End Page : 12
Objective: In recent years the incidence of dengue fever (DF)/dengue haemorrhagic fever (DHF) cases reported in India has increased. This study was undertaken to describe clinical manifestations, trend and outcome of children who were admitted with dengue shock syndrome (DSS)/DF/DHF from May 2014 to Dec 2015 in the department of paediatrics, PMCH, Patna.
Methods: Hundred children with dengue fever hospitalized in the paediatric Department of Patna Medical College and Hospital Patna were taken for the study.
The patients were diagnosed, managed and scrutinised according to a usual protocol.
Findings: The Children amid 5-15 years were most commonly afflicted (50%). The least affected sub-group were infants (5%). 91 percent were diagnosed as classical dengue fever. Children with DHF were around 8% and in DSS 1% cases presented. The most common symptoms seen were fever (86%), vomiting (35%), poor intake (24%), abdominal pain (18%) and substantial bleeding (14%). In 30% of cases Hepatomegaly was present. 25% of cases had petechiae alone. 10% had confirmation of substantial bleeding manifestation. The commonest observed bleeding was gastrointestinal bleeding. The morbidities observed were liver dysfunctions (35%), renal dysfunction (6%), coagulopathy (5%) and severe respiratory distress syndrome (15%) and disseminated intravascular coagulation (2%). In the study, mortality was 3%.
Conclusion: Better transport facilities and improved case management and awareness is needed to further decrease mortality of DHF/DSS cases.
Keywords: Dengue haemorrhagic fever; Dengue shock syndrome; Mortality