Abstract :
Background: Dengue is a common disease in this part of the world. It is one of the dreaded fevers for the paediatric age group. The disease has various presentations and features, but early diagnosis and management can decrease mortality rate significantly.
Aims: To evaluate the clinical profile of dengue infection in children under the age of 14 in urban areas of Telangana. The study is done in the tertiary care centre in urban area.
Materials and Methods: It is Hospital based descriptive, prospective observational study. All probable cases of dengue were admitted with provisional diagnosis of dengue fever to the department of paediatrics for a period of one year. Total 198 children of age less than 14 years participated in present study.
Results: Out of 198 samples of clinically suspected dengue cases, 192 were found positive for Dengue NS1 antigen, 145 were found to be positive by IgG and 139 cases were positive for IgM. Majority of cases are males (62%) females were 38%. Most commonly affected age group is 6- 10 years of age 95 cases (47.9%) Most of the patients in study are hospitalized for a period of 3-6 days (51.5%). Fever (99.5%) was the most common symptom found in all the patients followed by vomiting (17.7%). Hypotension was found in 9% of the patients.
Severe thrombocytopenia was observed in 3.5% of patients and moderate thrombocytopenia in 7% of patients. 46.5% of patients had normal platelet count. Leukopenia was seen in 29.8% of patients.
Conclusions: Fever was the most common symptom found in all the patients. Majority of cases showed thrombocytopenia.
Keyword :
Dengue virus infection, Fever, Thrombocytopenia.