Abstract
Background: Dengue fever presentations are from asymptomatic fever to most serious complications. Acute
high-grade fever, muscle and joint pain, myalgia, skin rashes, hemorrhage and circulatory shock are the
common symptoms. There has been reported increase in number of dengue fever and last few years.
Urgent diagnosis is critical to avoid complications like liver injury, cardiomyopathy, pneumonia, orchitis,
oophoritis, seizures and encephalopathies. This study aimed to determine the complication caused by
dengue fever after the diagnosis by clinical and laboratory investigation by performing ultrasound
abdomen and thorax.
Methods: In this study one hundred and twenty one (121) patients diagnosed with dengue fever and
laboratory investigations done from Jinnah Medical Hospital (JMH) and Pathological and Molecular
Laboratories from August to November 2019. Ultrasound of abdomen and thorax was performed for
diagnosing complications such as ascites, pleural and pericardial effusion through Xario-100 sonography
machine.
Results: Out of one hundred and twenty one (121) patients diagnosed with dengue fever forty-three (43)
were found to have developed the complications such as ascites, pleural and pericardial effusion by
performing ultrasound abdomen and chest.
Conclusion: We found 35 % patients with dengue fever complications by ultrasound, which is most
convenient diagnostic tool. Therefore, by performing early ultrasound scan of abdomen and thorax in these
patients can reduce the risk of morbidity and mortality.
Samia Perwaiz Khan, Safia Izhar, Shazia Kadri, Rubina Ghani. (2020) High Incidence of Dengue Fever in Karachi and the Benefits of Ultrasound for Diagnosis of Complications, The Pakistan Journal of Medicine and Dentistry, Volume 9, Issue-3.
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