Prevalence of Various Causes of Acute Abdominal Pain in Dengue Illness and its Association with Serious
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 3, Pages 1270-1277
AbstractBackground: Dengue viral infections are one of the most important mosquito borne diseases in the world. They may be asymptomatic or may give rise to undifferentiated fever, dengue fever (DF), dengue haemorrhagic fever (DHF), or dengue shock syndrome (DSS). Early recognition and prompt initiation of appropriate treatment are vital if disease related morbidity and mortality are to be limited.1 Abdominal pain is one of the common symptoms of DF and severe pain abdomen is strongly associated with DHF. About 500 000 people with severe dengue fever require hospitalization each year out of which about 2.5% die.6
Aim & Objective: 1.To study prevalence of various causes of acute abdominal pain in dengue illness patients. 2.To study association of causes of acute abdominal pain with severity of dengue illness. 3. To study the age wise association of acute abdominal pain with dengue illness.
Methods: Hospital based Cross sectional analytical study, Study setting: Pediatric ward tertiary care centre
Study duration: 2 years (from October 2018 to March 2020)
Study population: The study population included all the dengue fever cases with acute abdominal pain admitted at a tertiary care center
Results: In this study, majority of study subjects belongs to age group 7-9 years e.g 38 (34.5%) followed by 4-6 years age group 30 (27.2%), 10- 12 years age group 26 (23%) and 1-3 years age group found 13 cases (11,8%). majority of the cases were found in females e.g 60 (54.60%) and Males were 50 ( 45.40%), proportion of acute abdomen with dengue illness was statistical significant in age group 7 and above (p < 0.05), majority of cases had Dengue fever e.g 98 (89.09%, followed by Dengue Hemorrhagic 8,(7.27%) and Dengue shock syndrome was found in 4 cases (3..64%).
Conclusions: Most common cause of abdominal pain in dengue fever was ascites, pleural effusion, hepatitis. Most common clinical features found in dengue cases was fever, followed by vomiting and skin rash. Majority of cases was found in 7-9 years age group, Majority of the dengue cases were found in females.
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