DOI: 10.36347/sjams.2019.v07i09.002

Pages: 2926-2930

Introduction: Dengue fever is one of the most important emerging vector-borne viral diseases. There are four serotypes of dengue viruses, each of which is capable of causing self-limiting dengue fever or even life-threatening dengue hemorrhagic fever and dengue shock syndrome. Objective: To find out Ultrasonographic findings in children with dengue fever-correlation with clinical findings and investigations. Material and Methods: The aim of this study was to evaluate the clinical and sonographic findings of dengue fever. This cross sectional observational study included 200 serologically confirmed children with dengue fever admitted in the year 2018. The participants were clinically and serologically evaluated against NS1 antigen, IgM and IgG antibody. These patients also underwent USG abdomen and chest within the first week of the illness. Results: Out of the 200 confirmed dengue cases, 106(53%) cases were males and the remaining 94 (47%) were females. The most common age group was school going children (42%) and adolescents (36%). All the cases had fever (100%). Other features were vomiting in 72%, abdominal pain in 46 %, 67cases (21.5%) had hepatomegaly in 33.5%, hypotension and shock in 23.5%, bradycardia in 13%, and rashes in 10.5%. Investigations revealed thrombocytopenia in 97%, hemoconcentration in 94.5%, leucopenia (< 4000/mm3) in 63% and raised liver enzymes in 43.5%. The Ultrasonographic findings were hepatomegaly in 38 cases (19%), gall bladder wall thickening in 190(95%) and splenomegaly in 20(10%) of cases. Pleural effusion was noticed in 170 (85%) and 160 cases (80%) had ascites. All the 4 cases who expired had shock and ARDS. Conclusion: It is concluded that dengue fever should be suspected among children in endemic areas like Bangladesh when they present with fever, vomiting, myalgia, low platelet count with elevated liver enzymes in endemic areas like Bangladesh.