Study on Dengue fever in children: A Tertiary care hospital during dengue out-break

DOI: https://doi.org/10.47648/zhswmcj.2019.v0101.01

Tamanna Begum1 , Sadika Kadir2 , Khayerul Islam3 , Rafiqul Islam4 , Romela Yeasmin5 , Salina Nasrin6 , Asif Imran7

Abstract

This is a prospective observational study conducted in the department of Paediatrics from June to August 2019 during the time of dengue outbreak. All children age up to 14 years with either positive NSI antigen or serological Gg, IgM test Kit or ELISA methods were taken into the study. Total 39 cases were enrolled in this study. Mean age was 7.2 ± 2 years, majority were in the age group of 5-10 years (51%) followed by <5 years (38%),> 10 years (35%) respectively. Male predominance was observed in this study (69.20%). Most of the patient admitted in August (73%), then July (33%) and June (15%) during dengue outbreak. The common symptoms were fever100%, rashes (6.8%), body ache (25% and warning sign like vomiting (45%) and others. Among the enrolled cases dengue fever was (75%) than DHF (7.5%), DSS (2.5%) respectively. About 75% were NSI positive and 2.5% were 1gM ±IgG. Thrombocytopenia present in100% cases, among them 38% with plate <15000.Lowest limit was >20-30 thousands (5%) cases. All patient was treated with IVF, platelet was transfused in 20%, FFP was given (20%). Dengue has wide range of symptoms mild to severe. Complication is rare platelet transfusion is not randomly required despite of thrombocytopenia. Supportive treatment and patient monitor are very important in management of Dengue.

Keywords: Dengue, Children, Thrombocytopenia


  1. Professor & Head of the Department of Paediatrics

    Z H Sikder Women’s Medical College, Dhaka

  2. Assistant Professor, Department of Paediatrics

    Z H Sikder Women’s Medical College, Dhaka

  3. Professor, Department of Paediatrics

    Z H Sikder Women’s Medical College, Dhaka

  4. Associate Professor, Department of Paediatrics

    Z H Sikder Women’s Medical College, Dhaka

  5. Associate Professor, Department of Paediatrics

    Z H Sikder Women’s Medical College, Dhaka

  6. Medical officer, Department of Paediatrics

    Z H Sikder Women’s Medical College, Dhaka

  7. Registrar, Department of Paediatrics

    Z H Sikder Women’s Medical College, Dhaka


Volume 1, Number 1, January 2019
Page: 6-9