A STUDY ON CLINICAL PROFILE OF DENGUE IN ADULT PATIENTS IN A TERTIARY CARE TEACHING HOSPITAL

Dr. J. Bharath MD, *Dr. A. Ravi MD and Dr. Marchwin Kingston

ABSTRACT

Dengue Fever, known commonly as Break bone fever is the most common Arboviral mosquito borne disease in the world. Dengue has a varied and wide spectrum of clinical presentations, often with unpredictable clinical evolution and outcome. This study is an attempt to derive the clinical profile of Dengue infection from the epidemic and to identify some peculiar features that may help in early recognition and appropriate case management. The present study is an observational study where we studied the clinical profile of 251 serologically proven dengue patients admitted in the Department of Medicine in atertiary care teaching hospital, for a period of one year. Out of 251 cases, 149 patients belonged to DCF, DHF in 76 patients whereas 26 patients belonged to more severe variety of DSS. Majority of cases occurred in young adult <20 years of age. Distribution of dengue in females was slightly higher. The characteristic feature of dengue like bone pain and retro-orbital pain was present in only 3.20% and 32.70% respectively. Fever was commonest complaint. BP is the most important clinical monitor in a case of dengue for identifying onset of complications like shock. Mortality rates was 0.8%. Management of patients with dengue is mainly supportive, simple, inexpensive and very effective in saving but early and meticulous monitoring are the corner stone for positive outcome.

Keywords: Dengue, DHF, DSS.