Publication:

Significance of abdominal manifestations in dengue fever

Background Dengue Fever is an Infectious condition caused by flavo virus. It is an epidemic since 4 years and its prevalence is increased in the recent years in India. The increase in India is due to rapid urbanization, population growth, increased international travel and global warming. But dengue fever is now being reported from rural backgrounds due to poor sanitation and stagnant water sources.

Methods This is an institutional cross sectional study in which we took patients presenting with fever and various other complaints related to viral fevers for 9months from 2016 June to March 2017 at Rajiv Gandhi Institute of Medical Sciences, Ongole. In this study we included patients who are NS1 Ag positive and dengue ELISA positive only. We excluded whose NS1 Ag test positive but their dengue IgM ELISA report is negative.

Results In this study we have included 94 patients of all age groups who are diagnosed with dengue fever. Next in the list are nausea/vomiting (43.6%) and diarrhea (40.4%) respectively. We highlighted this in conclusion to consider abdominal manifestations association while evaluating pyrexia patients.

Conclusions As usually fluid management and regular monitoring is the main role in the management of dengue cases than platelet or blood transfusions and antibiotics. We concluded that there is significant association between abdominal manifestations and dengue fever. So abdominal manifestations should be considered while evaluating pyrexia patients to rule out dengue association in those patients and prognosis of dengue fever.