DENGUE FEVER

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

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.