WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Bharti Bhandari, Nitesh and Ragini Singh

ABSTRACT

Background: Dengue viral infection is a global health threat and it is the most rapidly spreading mosquito-borne viral disease in the world. Symptomatic dengue infection causes a wide range of clinical manifestations, from mild dengue fever (DF) to potentially fatal disease, such as dengue hemorrhagic fever (DHF) or dengue shock syndrome (DSS). Objective: To assess the clinical and laboratory profile of the dengue infection in children less than 18 years of age from july 2018 to November 2019 at the Pediatric Department. Results: A total of 119 cases were classified into 114 (95.7%) non severe and 5 (4%) severe dengue cases. The mean age of admission was 11.5 years. The most common presenting symptom was fever seen in 100%, rash 100%, vomiting 61%, pain abdomen 37% and hepatomegaly (25%), the most common physical finding. Elevation in aspartate transaminase (SGOT) was found in 66.42% and thrombocytopenia in 28%. Conclusion: In children, if symptoms like fever, pain, rashes, and vomiting are associated with hepatomegaly and elevated SGOT in context of low Platelet Count, a strong possibility of dengue fever is present, especially in an epidemic setting. Early suspicion and effective management can reduce the severity.