DENGUE FEVER

ULTRASONOGRAPHY OF DENGUE FEVER PATIENTS IN PAEDIATRIC AGE GROUP “A DESCRIPTIVE STUDY AT A TERTIARY CARE HOSPITAL PESHAWAR

  • Rifaq Zeb Khyber Teaching Hospital, Peshawar.
  • Mian Saad Ahmed Khyber Medical College, Peshawar.
  • Junaid Zeb Khyber Teaching Hospital, Peshawar, Pakistan.
Keywords: Dengue, Thrombocytopenia, Serology, Ultrasonography

Abstract

Objectives: To note ultrasound findings in patient of Dengue Fever in pediatric
age group and to find relation between ultrasonographic findings and severity of disease
in terms decrease in platelets. Study Design: Cross sectional descriptive study. Setting:
Department of Pediatric Khyber Teaching Hospital, Peshawar. Period: August 2017 to Dec 2017.
Methodology: Data was collected randomly from 183 patients using pre designed questionnaire
by interviewers for biodata, ultrasonography for radiological findings and analyzed by SPSS
21.0. Mean ± standard deviation was calculated for numerical variables like age where as for
categorical variables frequency and percentage was calculated. Results: In the study 56.3%
were males while 43.7% were recorded as females with mean age of 6.53 ± 3.40 Years. 18.6%
showing anti-dengue serology (IgG & IgM) positive while 94.5% subjects showed positive NS-1,
in other investigations 87% had thrombocytopenia in different categories with mild > moderate
> severe. In the ultrasongraphic findings hepatomegaly and spleenomegaly shared maximum
numbers of 28.4% while Ascites 23.5%, Pleural Effusion 7.1% & Gall Bladder thickness 7.1%.
A P-Value of ≤0.05 was found when all these ultrasonographic findings were correlated with
severity of disease in terms of decrease in numbers of platelets. Conclusion: DEN Virus is
common most disease in our part of world. This study shows maximum number of patients with
NS-1 shows hepatomegaly and spleenomegaly in ultrasonographic changes and the positive
relation has been shown between decrease in platelets count with ultrasonographic findings.

Author Biographies

Rifaq Zeb, Khyber Teaching Hospital, Peshawar.

MBBS.
Postgraduate Resident,
Department of Pediatrics Unit B

Mian Saad Ahmed, Khyber Medical College, Peshawar.

MBBS
Medical Officer,
Department of Health
KPK, Pakistan.
Department of Forensic Medicine

Junaid Zeb, Khyber Teaching Hospital, Peshawar, Pakistan.

MBBS
Resident Surgeon
Department of Surgery.

Published
2018-09-10