Study of Hematological Parameters In Dengue Fever: A Retrospective Study
Study of Hematological Parameters In Dengue Fever: A Retrospective Study
DOI:
https://doi.org/10.70284/njirm.v8i4.1282Keywords:
Dengue, endemic, leucopenia, thrombocytopenia, dengue shock syndromeAbstract
Background and objectives: Dengue is a major preventable and treatable cause of morbidity and mortality among children and adults. Hematological examination is an essential step in the management. Hence this study was undertaken to document the haematological changes in dengue fever. Method: This is a retrospective study conducted in the Department of Pathology for a period of 6 months from January to June 2016. All patients with fever and clinical suspicion of dengue were subjected to NS1 antigen test. Patients with documented NS1 positivity were included in the study. Hematological analysis was done by 5 part differential cell counter and subsequent peripheral smear examination. Results: Total 57 serologically positive dengue cases were seen during the study period. Maximum no of cases were seen in January-February. Range of haemoglobin percentage was lowest 4.2 g/dl and highest 15.6 g/dl with a mean of 11.95g/dl. 50.8% had platelets above 75000 while 5.3% had <20000/cu mm. 52.6% had normal leucocytic count, 35% had leucopenia and 12.3% had leucocytosis. Conclusion: Dengue infection is on a rise in india. Many experts believe that it is now endemic in india and no longer seasonal since a cases can be detected round the year though the peak incidence still remains during the rains. Any patient with fever and other clinical symptoms suspicious of dengue should be subjected to complete haematological profile as well as specific tests for dengue. Early and prompt diagnosis goes hand in hand with aggressive measures for proper sanitation can greatly limit dengue afflicted mortality. [Madhuri K NJIRM 2017; 8(4):58-62]
References
2. Azin FRFG, Goncalves RP, Pitombiera MHS, Lima DM, Branco IC. Dengue: profile of hematological and biochemical dynamics. Revista Brasileira de Hematologia e Hemoterapia /Rev. Bras. Hematol. Hemoter. [Internet] 2012 [cited 2017 Jan 27]; 34(1): 36-41. Available from: http://www.scielo.br/scielo.php?pid=S1516-84842012000100012&script=sci_arttext&tlng=pt.
3. Patel PM, Patel SK, Sabalpara MA, Shah CK, Shah NR. Study of hematological and biochemical changes in dengue fever at a tertiary care hospital in Ahmedabad. International Journal of Medical Science and Public Health. 2016; 5(9): 1934-136. Available from: http://www.ejmanager.com/mnstemps/67/67-1452154609.pdf
4. Dongre T, Karmarkar P. Hematological parameters and its utility in dengue – a prospective study. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2015 February; 2(2):31-34. Available from: http://www.iosrjournals.org/iosr-jdms/papers/Vol14-issue2/Version-2/G014223134.pdf
5. Ayyub M, Khazindar AM, Lubbad EH, Barlas S, Alfi AY, Al-Ukayli S. Characteristics of dengue fever in a large public hospital, Jeddah. Journal of Ayub Medical College Abbotabad.(JAMC). 2006(April-June); 18(2): 9-13. Available from: https://www.ncbi.nlm.nih.gov/pubmed/16977805
6. Choudhary S, Shivkumar BS, Shankar A, Manjunatha YA, Priyadarshini YA. Hematological changes in dengue fever. National Journal of Basic Medical Sciences. 2012; 3(4): 289-293. Available from: http://njbms.in/uploads/19/1663_pdf.pdf
7. Cecelia D. Current status of dengue and chikungunia in India. WHO Southeast Asia Journal of Public Health. 2014 January-March; 3(1): 22-27. Available from: http://www.searo.who.int/publications/journals/seajph/seajphv3n1p22.pdf
8. Meena KC, Jelia S, Meena S, Arif M, Ajmera D, Jatav VS. A study of hematological profile in dengue fever at tertiary care centre, Kota,Rajasthan, India. International Journal of Advances in Medicine/Int J Adv Med. 2016 Aug; 3(3): 621-624. Available from: http://www.ijmedicine.com/index.php/ijam/article/viewFile/113/105
9. Jain A, Shah AN, Patel P, Desai M, Somani M, Parikh P et al. A clinco-hematological profile of dengue outbreak among healthcare professionals in a tertiary care hospital of Ahmedabad with analysis of economic impact. National Journal of Community Medicine / Natl J Community Medicine. 2013 April-June; 4(2): 286-290. Available from: http://njcmindia.org/uploads/4-2_286-290.pdf
10. Deshwal R, Ishaque Q, Singh R. Clinical and laboratory profile of dengue fever. Journal of the Association of Physicians of India. 2015 December; 63: 30-32. Available from: http://www.japi.org/december_2015/05_oa_clinical_and_lab.pdf
11. Kirtilaxmi K, Benachinmardi KK, Panduranga C, Srinivasmurthy V, Burugina SN, Vani BR, Navaneeth BV. Hematological profile in acute dengue infection: A study at tertiary teaching hospital. Journal of pharmaceutical and biomedical sciences (J Pharm Biomed Sci). 2013 November; 36(36): 1866-1870. Available from: https://www.researchgate.net/publication/261324266_Haemotological_profile_in_acute_dengue_infection_A_study_at_tertiary_care_teaching_hospital
12. Tanner L, Schreiber M, Low JGH, Ong A, Tolfvemstam T, Lai YL et al. Decision tree algorithm predicts the decision and outcome of dengue fever in the early phase of illness. Public Library of Science: Negleted Tropical Diseases (PLoS Neg Trop Dis). 2008 March; 2(3): e 16. Available from: http://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0000196