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Abstract
Background : The purpose of this study is to evaluate if ultrasonography may be used as an useful addition to clinical and radiology profiles in diagnosing dengue fever and predicting virus severity by comparing imaging findings. The difference in sonographic characteristics observed in patients of various ages was also investigated.
Objective : The goal of this study is to determine role of ultrasound for diagnosis of complications of dengue fever in Gujrat
Materials and Methods: This is a retrospective study. From October and December 2021, 79 patients who were serologically confirmed with dengue fever were referred for ultrasound scanning of the abdomen at Aziz bhatti shaheed hospital Gujrat, and the imaging data were evaluated. The statistical kit for social science (spss) is used for data analysis.
Results: out of 76 positive dengue patients there are 71(89.9%) male and 8(10%) are female .48 (60.8%) patients showed splenomegaly, 24(30%) patients showed ascites in which 8 (10%) have pelvic ascites and 16 (20.3%) abdominal ascites, 63 (79.7%) patients showed edematous GB wall thickening, 21(26.6%) showed pleural effusion while 18 (22.8 %) have bilateral pleural effusion and 3 (3.8%) have right sided.
Conclusion: In patients presenting with fever and concomitant symptoms, sonographic signs of thickening GB wall, pleural effusion (bilateral or right side), ascites, and splenomegaly should strongly help in early diagnosis of dengue fever, especially during an outbreak.
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References
- Shamim M. Frequency, pattern and management of acute abdomen in dengue fever in Karachi, Pakistan. Asian Journal of Surgery. 2010;33(3):107-13.
- Joob B, Wiwanitkit V. Zika virus infection and dengue: A new problem in diagnosis in a dengue-endemic area. Annals of Tropical Medicine and Public Health. 2015;8(4):145.
- Pothapregada S, Kamalakannan B, Thulasingam M. Clinical profile of atypical manifestations of dengue fever. The Indian Journal of Pediatrics. 2016;83(6):493-9.
- Tavares MdA, João GAP, Bastos MS, Gimaque JBL, Almeida ACG, Ngo TT, et al. Clinical relevance of gallbladder wall thickening for dengue severity: A cross-sectional study. PloS one.2019;14(8):e0218939.
- Fernando S, Wijewickrama A, Gomes L, Punchihewa CT, Madusanka S, Dissanayake H, et al. Patterns and causes of liver involvement in acute dengue infection. BMC infectious diseases. 2016;16(1):1-9.
- Bashir Z, Kamran AU, Saeed H, Nazir R, Patras S, Mehmood K, et al. Ultrasound Findings in Dengue Fever: A Single Center Study. Pakistan Journal of Medical & Health Sciences. 2022;16(04):756-.
- Khan SP, Izhar S, Kadri S, Ghani R. High Incidence of Dengue Fever in Karachi and the Benefits of Ultrasound for Diagnosis of Complications
- Low GK-K, Looi S-Y, Yong M-H, Sharma D. Predictive and diagnostic test accuracy of ultrasonography in differentiating severe dengue from nonsevere dengue. Journal of vector borne diseases. 2018;55(2):79.
- Vedaraju K, Kumar KV, Vijayaraghavachari T. Role of ultrasound in the assessment of dengue fever. International Journal of Scientific Study. 2016;3(10):59-62.
- Gul H, Ahmed A, Idrees M, Rehman N, Asghar M. Sonographic findings in patients with dengue hemorrhagic fever. KJMS. 2018;11(2):250.
- Parmar JP, Mohan C, Vora M. Patterns of gall bladder wall thickening in dengue fever: a mirror of the severity of disease. Ultrasound international open. 2017;3(02):E76-E81.
- Asghar J, Farooq K. Radiological appearance and their significance in the management of dengue hemorrhagic fever. Pak J Med Health Sci. 2013;5(4):685-92.
- GABALI M, ABDO OS. Study of Prevalence Presentation and Outcome of Plasma Leakagein Dengue Fever Patients Attending Private Medical Clinic inAden-Yemen. The Medical Journal of Cairo University. 2021;89(March):387-90.
- Mallhi TH, Khan AH, Adnan AS, Sarriff A, Khan YH, Jummaat F. Clinico-laboratory spectrum of dengue viral infection and risk factors associated with dengue hemorrhagic fever: a retrospective study. BMC infectious diseases. 2015;15(1):1-12.
