We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Comparison of dengue and other febrile illnesses in patients admitted to Teaching Hospital- Peradeniya.
- Authors
Chamila Kumari Nandasena1; Sathya Charuni Abeysinghe2; Senanayake Abeysinghe Mudiyanselage Kularathne3; Rathnayake Mudiyanselage Manel Rathnayake4; Udaya Ralapanawa; Jayantha Rajapakse; Jayasekara Mudiyanselage Kithsiri Bandara Jayasekara
- Abstract
Background: Dengue is a severe and notifiable infection in Sri Lanka and other tropical countries. There are other febrile illnesses,which have the same symptoms as dengue. Identifying early changing markers in blood and their changing patterns in dengue and other febrile illnesses will help to differentiate dengue patients from other febrile illnesses.It is important for the early recovery and management of the dengue patients. Methods: Dengue suspected 288 patients were selected from adult medical wards in Teaching hospital-Peradeniya, after initial screening process. Out of whole population, 56% were RT-PCR positive for dengue and RT-PCR negative population (44%) was named as other febrile illnesses. Results of variations in liver enzymes, full blood count (FBC), demographic and hospitalization details in both groups were obtained from hospital records. Results: Male predominance and highly affected young population were detected in both groups. Number of days from onset of fever to admission to the hospital is lower and hospitalization period is higher in dengue than other febrile illnesses. On admission, higher level of aspartate transaminase, significant lymphopenia and higher mean cell volume (MCV) were noticed in dengue patients. On discharge, lower total white blood cell count, lower absolute lymphocyte count, lower platelet count and increased levels of transaminases were detected in dengue compared with other febrile illnesses.Conclusion: From dengue suspected admissions, 44% was due to other febrile illnesses which was very difficult to distinguish by symptoms of dengue. Young patients with male predominance is common in dengue as well as in other febrile illnesses. Recovery of cytopenia in FBC and normalization of liver transaminases were lower in dengue.
- Subjects
SRI Lanka; DENGUE hemorrhagic fever; LEUKOCYTE count; DENGUE; BLOOD cell count; ASPARTATE aminotransferase; LYMPHOCYTE count
- Publication
Bangladesh Journal of Medical Science, 2021, Vol 20, Issue 1, p101
- ISSN
2223-4721
- Publication type
Article
- DOI
10.3329/bjms.v20i1.50353