CHARACTERISTICS OF DENGUE FEVER IN WAYANAD DISTRICT KERALA
Dr. Subhash S. Pujari*
Objectives: This study was conducted to know the clinical and biochemical profile of dengue fever patients in the Wayanad district of Kerala and the surrounding area of Tamilanadu district and to compare with bleeding and without bleeding patients. Methods: We studied total of 120 patients of confirmed dengue fever patients admitted to medical ward of DM WIMS Medical College Kerala. All patients were examined with thorough history and clinical examination. Relevant biochemical tests were conducted. Dengue fever was confirmed by NS1 antigen or antibodies (IgM, IgG) to dengue virus. Results: Out of 120 patients 84 (70%) were males and 36 (30)%) were females. Mean age of patients was 28 ± 12.4 years. Total of 26 (21.66%) patients had bleeding manifestations, 94 (78.33%) patients did not have any bleeding manifestations. Mean haematocrit was 38 ±8.4 which is important predictor of severity of dengue fever. Liver dysfunction is common finding in most of dengue fever patients. Bleeding magnifications were common with low platelet counts. Conclusion: Dengue fever is viral fever which presents like any other viral infections. Bleeding manifestations and complications like hemorrhage and shock can occur in some patients. Early diagnosis and proper supportive measures can reduce the mortality and morbidity in dengue fever patients.
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