An epidemic of dengue hemorrhagic fever and dengue shock syndrome in children in Delhi.
Indian Pediatr
; 1998 Aug; 35(8): 727-32
Article
em En
| IMSEAR
| ID: sea-11098
ABSTRACT
OBJECTIVE:
To study clinical profiles and outcome of children of dengue hemorrhagic fever (DHF) and dengue shock syndrome (DSS) during 1996 Delhi epidemic.DESIGN:
Retrospective study.SETTING:
Hospital based study.METHODS:
Children hospitalized from September to November 1996 were studied. All patients were diagnosed, managed and monitored according to a standard protocol.RESULTS:
One hundred and thirty four children (80 (60%) males and 54 (40%) females) were studied. Sixty (45%) children were less than 6 years of age of which 12 presented during infancy. There were 92 (67%) cases of DHF and 42 (33%) cases of DSS. Common symptoms were fever (93%), abdominal pain (49%) and vomiting (68%). The commonest hemorrhagic manifestation was hematemesis (39%) followed by epistaxis (36%) and skin bleeds (33%). Hepatomegaly was observed in 97 (72%) cases and splenomegaly in 25 (19%). Serology was positive (IgM hemaglutination antibody titres > 1 160) for dengue type 2 in 31 (80%) of 39 patients in whom sera was tested during the acute phase of illness. Mortality was 6%. Hematocrit > 40% was observed in only 25 (18%) patients and hence the management protocol was based on clinical signs and symptoms and not on hematocrit.CONCLUSIONS:
A management protocol of DHF/DSS in which fluid therapy is not based on haematocrit values needs to be formulated.
Texto completo:
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Índice:
IMSEAR
Assunto principal:
Esplenomegalia
/
Vômito
/
Feminino
/
Humanos
/
Masculino
/
Imunoglobulina M
/
Dor Abdominal
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Criança
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Pré-Escolar
/
Epistaxe
Tipo de estudo:
Guideline
/
Observational_studies
País/Região como assunto:
Asia
Idioma:
En
Revista:
Indian Pediatr
Ano de publicação:
1998
Tipo de documento:
Article