ALT; An Indicator of Hepatic Involvement in Dengue Infection

Background: Dengue infection, a major public health problem, affects all body systems including hepatobiliary system that can be assessed by measuring serum alanine aminotransferase (ALT) levels. The objective of this study was to compare the extent of hepatic involvement in the patients of dengue f...

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Main Authors: Salman Majeed, Zuhair Ali Rizvi, Muhammad Ali Hafeez, Mujeeb Khan, Samra Ayub
Format: Article
Language:English
Published: Rawalpindi Medical University 2018-11-01
Series:Journal of Rawalpindi Medical College
Subjects:
Online Access:https://www.journalrmc.com/index.php/JRMC/article/view/972
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author Salman Majeed
Zuhair Ali Rizvi
Muhammad Ali Hafeez
Mujeeb Khan
Samra Ayub
author_facet Salman Majeed
Zuhair Ali Rizvi
Muhammad Ali Hafeez
Mujeeb Khan
Samra Ayub
author_sort Salman Majeed
collection DOAJ
description Background: Dengue infection, a major public health problem, affects all body systems including hepatobiliary system that can be assessed by measuring serum alanine aminotransferase (ALT) levels. The objective of this study was to compare the extent of hepatic involvement in the patients of dengue fever (DF) with that of the patients of dengue haemorrhagic fever (DHF) by comparing mean ALT levels and degree of rise in serum ALT levels in patients of both groups, DF and DHF. Methods: A comparative analytical study was carried out at Department of Infectious Diseases, Holy Family Hospital from September 2016 to December 2016. A total of 184 seropositive dengue patients were taken using non-randomized consecutive sampling technique; 92 patients having DF and 92 patients having DHF. Blood samples for ALT levels were taken within 24 hours of diagnosis of DF and DHF. SPSS version 22 was used to analyse the data. Mann-Whitney U test was used to compare the mean ALT levels and Chi-Square test at 5% significance level was applied to compare the degree of rise in serum ALT levels in both groups. Results: In this comparative analytical study, 184(42 females and 142males) seropositive dengue patients were included. The mean serum ALT level in patients of DF was 85.43(±58.685) while mean ALT levels in patients of DHF was 167.76(±155.656), (p=0.00).The degree of serum ALT rise in DHF patients was significantly higher than that of DF patients (p=0.00). Conclusion: The extent of hepatic damage is more in dengue haemorrhagic fever as compared to uncomplicated dengue fever.
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spelling doaj.art-461503e199de4c94b7a0908d893f1d312022-12-22T01:52:11ZengRawalpindi Medical UniversityJournal of Rawalpindi Medical College1683-35621683-35702018-11-0121S-1ALT; An Indicator of Hepatic Involvement in Dengue InfectionSalman Majeed0Zuhair Ali Rizvi1Muhammad Ali Hafeez2Mujeeb Khan3Samra Ayub4Final Year Medical Student, Rawalpindi Medical UniversityRawalpindi medical universityFinal Year Medical Student, Rawalpindi Medical UniversityAssistant Professor, Department of Infectious Diseases, Holy Family Hospital, RawalpindiDemonstrator, Department of Pathology, Rawalpindi Medical UniversityBackground: Dengue infection, a major public health problem, affects all body systems including hepatobiliary system that can be assessed by measuring serum alanine aminotransferase (ALT) levels. The objective of this study was to compare the extent of hepatic involvement in the patients of dengue fever (DF) with that of the patients of dengue haemorrhagic fever (DHF) by comparing mean ALT levels and degree of rise in serum ALT levels in patients of both groups, DF and DHF. Methods: A comparative analytical study was carried out at Department of Infectious Diseases, Holy Family Hospital from September 2016 to December 2016. A total of 184 seropositive dengue patients were taken using non-randomized consecutive sampling technique; 92 patients having DF and 92 patients having DHF. Blood samples for ALT levels were taken within 24 hours of diagnosis of DF and DHF. SPSS version 22 was used to analyse the data. Mann-Whitney U test was used to compare the mean ALT levels and Chi-Square test at 5% significance level was applied to compare the degree of rise in serum ALT levels in both groups. Results: In this comparative analytical study, 184(42 females and 142males) seropositive dengue patients were included. The mean serum ALT level in patients of DF was 85.43(±58.685) while mean ALT levels in patients of DHF was 167.76(±155.656), (p=0.00).The degree of serum ALT rise in DHF patients was significantly higher than that of DF patients (p=0.00). Conclusion: The extent of hepatic damage is more in dengue haemorrhagic fever as compared to uncomplicated dengue fever.https://www.journalrmc.com/index.php/JRMC/article/view/972dengue feverdengue haemorrhagic feveralanine aminotransferase
spellingShingle Salman Majeed
Zuhair Ali Rizvi
Muhammad Ali Hafeez
Mujeeb Khan
Samra Ayub
ALT; An Indicator of Hepatic Involvement in Dengue Infection
Journal of Rawalpindi Medical College
dengue fever
dengue haemorrhagic fever
alanine aminotransferase
title ALT; An Indicator of Hepatic Involvement in Dengue Infection
title_full ALT; An Indicator of Hepatic Involvement in Dengue Infection
title_fullStr ALT; An Indicator of Hepatic Involvement in Dengue Infection
title_full_unstemmed ALT; An Indicator of Hepatic Involvement in Dengue Infection
title_short ALT; An Indicator of Hepatic Involvement in Dengue Infection
title_sort alt an indicator of hepatic involvement in dengue infection
topic dengue fever
dengue haemorrhagic fever
alanine aminotransferase
url https://www.journalrmc.com/index.php/JRMC/article/view/972
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AT muhammadalihafeez altanindicatorofhepaticinvolvementindengueinfection
AT mujeebkhan altanindicatorofhepaticinvolvementindengueinfection
AT samraayub altanindicatorofhepaticinvolvementindengueinfection