DOI: 10.36347/sjams.2017.v05i05.021

Pages: 1821-1825

Dengue is increasingly becoming a major health problem of the world. It has become as one of the disease of major concern in Tropical countries. Growing menace of Dengue has led to increase burden on the health care system in endemic areas of India. The aim of the study was to observe the clinical presentation and Laboratory findings of clinically suspected dengue cases in tribal region of Adilabad. This retrospective study was conducted in Rajiv Gandhi Institute of Medical Sciences [RIMS] Adilabad during period from 2013 to 2014 dengue active season. Adult patients with acute febrile illness were evaluated for clinical features of dengue fever, dengue hemorrhagic fever and dengue shock syndrome. Patients presenting with typical symptoms of dengue fever were evaluated. Fifty (n=50) patients of both sexes were included during the study. Out 50 cases 32 (64%) were male and 18 (36%) were female patients. 22 (44%) out of 50 were dengue suspected cases and 28 (56%) 50 were dengue proven cases. Out of 28 dengue proven cases 26 had dengue fever and 2 had dengue hemorrhagic fever. The most common clinical presentation was fever in 78.6% of patients with myalgia 50% of the patients followed by abdominal pain in 53.6% of patients, headache was reported by 39.3% of the patients and bleeding manifestation was seen in 17.8% of patients. The Laboratory findings were Thrombocytopenia in 89.3% of patient with leucocytopenia in 25% of the patients ALT was raised in 40% of cases and 28.5% cases showed NS1Ag negative and IgM positive in tests. High suspicion for Dengue should be considered in patients reporting from endemic areas of dengue infection with clinical presentation of fever with myalgia, abdominal pain and headache with bleeding manifestations. However confirmation of dengue can be done only with Laboratory findings which include NS1Ag, dengue serology IgM and IgG, thrombocytopenia, increased ALT.