Evaluation of Thrombocytopenia in Dengue Infection Along with Seasonal Variation in Rural Melmaruvathur

Introduction: Dengue is one of the most prevalent mosquitoborne arboviral infection in India. Seventy percent of the 96 million apparent infections occur in Asia, in which India is making upto one third of the total. Despite considerable efforts to control the mosquito populations, dengue fever h...

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Main Authors: Dost Mohamed Khan, Kumaresan Kuppusamy, Sumathi S., Mrinalini V.R.
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2014-01-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/3914/12-6739_E(C)_F(DK)_PF1(VP)_PFA(H)_PFA(AK)_PF2(RAK)_(NJH).pdf
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author Dost Mohamed Khan
Kumaresan Kuppusamy
Sumathi S.
Mrinalini V.R.
author_facet Dost Mohamed Khan
Kumaresan Kuppusamy
Sumathi S.
Mrinalini V.R.
author_sort Dost Mohamed Khan
collection DOAJ
description Introduction: Dengue is one of the most prevalent mosquitoborne arboviral infection in India. Seventy percent of the 96 million apparent infections occur in Asia, in which India is making upto one third of the total. Despite considerable efforts to control the mosquito populations, dengue fever has emerged, spread and established itself rapidly. The most serious manifestations of the infection are Dengue Hemorrhagic Fever (DHF) and Dengue Shock Syndrome (DSS). Objectives: Evaluation of thrombocytopenia in dengue infection along with seasonal variation. Material and Methods: The present study was conducted retrospectively for a period of two years in Melmaruvathur from January 2011 to December 2012. Blood samples were collected from 1,464 patients experiencing febrile illness, clinically consistent with dengue infection. Serological confirmation of dengue infection and evaluation of platelet counts was done in all the serologically positive cases. Results: A total of 1,464 fever cases were admitted during the study period and among them, 107 (7.3%) were found to be seropositive for dengue. A majority, 41 (38.3%) of the dengue cases was noted in the age group of 15-30 years, followed by less than 15 years of age and the mean age of the seropositive cases was 29.78 ± 15.3 years. Among the dengue cases, 62.6% were males and 37.4 % were females. A statistically significant association (p<0.05) was found between the age groups and severity of thrombocytopenia, between severity of thrombocytopenia and clinical presentation of dengue infections. A significantly higher number of serologically positive cases were noted, when compared to serologically negative cases in the post monsoon period. Conclusion: This retrospective study highlighted significant dengue infection during seasonal variation. The median age of dengue patients has decreased and younger patients may be more susceptible.
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spelling doaj.art-2d36f135f1444f4faec0f5cc3c4442772022-12-22T00:05:48ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2014-01-0181394210.7860/JCDR/2014/6739.3914Evaluation of Thrombocytopenia in Dengue Infection Along with Seasonal Variation in Rural MelmaruvathurDost Mohamed Khan0Kumaresan Kuppusamy1Sumathi S.2Mrinalini V.R.3Assistant Professor, Department of Pathology, Melmaruvathur, Adhiparasakthi Institute of Medical Science, Tamilnadu, India.Assistant Professor, Department of Community Medicine, Melmaruvathu, Adhiparasakthi Institute of Medical Science, Tamilnadu, India.Associate Professor, Department of Pathology, Melmaruvathu, Adhiparasakthi Institute of Medical Science, Tamilnadu, India.Professor & HOD, Department of Pathology, Melmaruvathu, Adhiparasakthi Institute of Medical Science, Tamilnadu, India.Introduction: Dengue is one of the most prevalent mosquitoborne arboviral infection in India. Seventy percent of the 96 million apparent infections occur in Asia, in which India is making upto one third of the total. Despite considerable efforts to control the mosquito populations, dengue fever has emerged, spread and established itself rapidly. The most serious manifestations of the infection are Dengue Hemorrhagic Fever (DHF) and Dengue Shock Syndrome (DSS). Objectives: Evaluation of thrombocytopenia in dengue infection along with seasonal variation. Material and Methods: The present study was conducted retrospectively for a period of two years in Melmaruvathur from January 2011 to December 2012. Blood samples were collected from 1,464 patients experiencing febrile illness, clinically consistent with dengue infection. Serological confirmation of dengue infection and evaluation of platelet counts was done in all the serologically positive cases. Results: A total of 1,464 fever cases were admitted during the study period and among them, 107 (7.3%) were found to be seropositive for dengue. A majority, 41 (38.3%) of the dengue cases was noted in the age group of 15-30 years, followed by less than 15 years of age and the mean age of the seropositive cases was 29.78 ± 15.3 years. Among the dengue cases, 62.6% were males and 37.4 % were females. A statistically significant association (p<0.05) was found between the age groups and severity of thrombocytopenia, between severity of thrombocytopenia and clinical presentation of dengue infections. A significantly higher number of serologically positive cases were noted, when compared to serologically negative cases in the post monsoon period. Conclusion: This retrospective study highlighted significant dengue infection during seasonal variation. The median age of dengue patients has decreased and younger patients may be more susceptible.https://jcdr.net/articles/PDF/3914/12-6739_E(C)_F(DK)_PF1(VP)_PFA(H)_PFA(AK)_PF2(RAK)_(NJH).pdfdengue infectiondengue feverdengue hemorrhagic feverdengue shock syndrome thrombocytopenia
spellingShingle Dost Mohamed Khan
Kumaresan Kuppusamy
Sumathi S.
Mrinalini V.R.
Evaluation of Thrombocytopenia in Dengue Infection Along with Seasonal Variation in Rural Melmaruvathur
Journal of Clinical and Diagnostic Research
dengue infection
dengue fever
dengue hemorrhagic fever
dengue shock syndrome thrombocytopenia
title Evaluation of Thrombocytopenia in Dengue Infection Along with Seasonal Variation in Rural Melmaruvathur
title_full Evaluation of Thrombocytopenia in Dengue Infection Along with Seasonal Variation in Rural Melmaruvathur
title_fullStr Evaluation of Thrombocytopenia in Dengue Infection Along with Seasonal Variation in Rural Melmaruvathur
title_full_unstemmed Evaluation of Thrombocytopenia in Dengue Infection Along with Seasonal Variation in Rural Melmaruvathur
title_short Evaluation of Thrombocytopenia in Dengue Infection Along with Seasonal Variation in Rural Melmaruvathur
title_sort evaluation of thrombocytopenia in dengue infection along with seasonal variation in rural melmaruvathur
topic dengue infection
dengue fever
dengue hemorrhagic fever
dengue shock syndrome thrombocytopenia
url https://jcdr.net/articles/PDF/3914/12-6739_E(C)_F(DK)_PF1(VP)_PFA(H)_PFA(AK)_PF2(RAK)_(NJH).pdf
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