DOI: 10.36347/sjams.2019.v07i11.003

Pages: 3505-3508

Dengue is a mosquito-borne viral disease that has rapidly spread in all regions of world health organization (WHO) in recent years. Dengue virus is transmitted by female mosquitoes mainly of the species Aedes aegypti and to a lesser extent, Aealbopictus. Children are the usual victim of dengue infection, there is paucity of published data regarding dengue infection in children in our country. We conducted a cross sectional descriptive in the Department of Paediatrics, Dr. M R Khan Shishu (children) Hospital and ICH, Mirpur-2, Dhaka over a period of 3 months from August 2018 to October 2018 among the children having Dengue infection and who were admitted in the selected hospital. Sixty nine (69) patients were enrolled in our study by using a purposive sampling technique. A detailed history was taken; clinical examinations and relevant investigations were done in every patient. The mean age of the patients was 4.96 ± 5.5 years with almost similar male and female ratio. Most of the patients presented with high grade continued type of fever (75.36%), followed by vomiting (73.91), abdominal pain (71.01%), Itchy rash was the most important characteristic signs (82.61%). Flushed appearance observed in 66.67%, subconjunctival haemorrage was (34.78%). Platelet count less than 100X109/L were found in 44.93% patients. Tourniquet test was positive in 37.68% of cases. All of the patients had packed cell volume (PCV) and Raised serum alanine aminotransferase (ALT) was observed 43.47%. IgM or/with IgG antibodies for dengue virus were positive in 100% patients. Platelet recovery time was 4.12± 1.23 days in our observation. Majority (94.20%) of the patients completely recovered from the disease and only 5.80% died. High grade continued fever, vomiting with abdominal pain and itchy skin rash (with normal platelet count) were the presenting features.