Role of Ultrasonography ( and ldquo;Honeycomb Sign and rdquo;) in Early Detection of Dengue Hemorrhagic Fever
Aim: This study was conducted to evaluate the early, specific ultrasonographic (USG) findings in clinically suspected dengue hemorrhagic fever (DHF) along with its prognostic value. Methods: From May 2009 to June 2012, 20 patients were referred with high-grade fever and abdominal pain. All the patie...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
GESDAV
2013-02-01
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| Series: | Archives of Clinical and Experimental Surgery |
| Subjects: | |
| Online Access: | http://www.scopemed.org/fulltextpdf.php?mno=21960 |
| _version_ | 1797917388738396160 |
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| author | Sudhir Sachar Sunder Goyal Saurabh Sachar |
| author_facet | Sudhir Sachar Sunder Goyal Saurabh Sachar |
| author_sort | Sudhir Sachar |
| collection | DOAJ |
| description | Aim: This study was conducted to evaluate the early, specific ultrasonographic (USG) findings in clinically suspected dengue hemorrhagic fever (DHF) along with its prognostic value.
Methods: From May 2009 to June 2012, 20 patients were referred with high-grade fever and abdominal pain. All the patients underwent immediate abdominal USG. A specific change and ndash; and ldquo;Honeycomb and rdquo; pattern in the thickened gallbladder (GB) wall (mostly in the fundal area) and ndash; on USG suggested the diagnosis of DHF, which was subsequently confirmed by serology in all patients. Treatment was stated on the bases of USG findings before the positive serology report. After starting treatment the USG on the 3rd day showed reduction in GB wall thickening, which was almost cleared by the 7th day in clinically improving patients.
Results: All 20 patients had type-2 dengue fever, i.e., DHF Grades I and II, as confirmed after USG by platelet count and serologic tests. USG features included a much-thickened GB wall in all the patients, but showing a and ldquo;Honeycomb and rdquo; pattern (proposed as Sachar and Sunder's sign) in 19 patients (95%), multilayered (laminated/onion peel) in 1 patient (5%), ascites in 15 patients (75%), splenomegaly in 8 patients (40%), and pleural effusion in 14 patients (70%). (Pleural effusion was either right-sided or bilateral, but never alone on the left side.)
Conclusions: Abdominal emergency USG can be used as a first-line imaging modality in patients with suspected DHF to detect early signs that are suggestive of the disease prior to obtaining serologic confirmation test results, especially in a dengue fever epidemic area. Also, reducing GB wall thickness can be used as a prognostic sign in cases of DHF. [Arch Clin Exp Surg 2013; 2(1.000): 38-42] |
| first_indexed | 2024-04-10T13:13:45Z |
| format | Article |
| id | doaj.art-594eef2b7d2545f8972bfe693c4599bf |
| institution | Directory Open Access Journal |
| issn | 2146-8133 |
| language | English |
| last_indexed | 2024-04-10T13:13:45Z |
| publishDate | 2013-02-01 |
| publisher | GESDAV |
| record_format | Article |
| series | Archives of Clinical and Experimental Surgery |
| spelling | doaj.art-594eef2b7d2545f8972bfe693c4599bf2023-02-15T16:12:30ZengGESDAVArchives of Clinical and Experimental Surgery2146-81332013-02-0121384210.5455/aces.2012082802515721960Role of Ultrasonography ( and ldquo;Honeycomb Sign and rdquo;) in Early Detection of Dengue Hemorrhagic FeverSudhir Sachar0Sunder Goyal1Saurabh Sachar2Muzaffarnagar Medical College,Opposite Begrajpur Indusrial area, Muzaffarnagar Muzaffarnagar Medical College,Opposite Begrajpur Indusrial area, Muzaffarnagar RML postgradute Medical institute,New DelhiAim: This study was conducted to evaluate the early, specific ultrasonographic (USG) findings in clinically suspected dengue hemorrhagic fever (DHF) along with its prognostic value. Methods: From May 2009 to June 2012, 20 patients were referred with high-grade fever and abdominal pain. All the patients underwent immediate abdominal USG. A specific change and ndash; and ldquo;Honeycomb and rdquo; pattern in the thickened gallbladder (GB) wall (mostly in the fundal area) and ndash; on USG suggested the diagnosis of DHF, which was subsequently confirmed by serology in all patients. Treatment was stated on the bases of USG findings before the positive serology report. After starting treatment the USG on the 3rd day showed reduction in GB wall thickening, which was almost cleared by the 7th day in clinically improving patients. Results: All 20 patients had type-2 dengue fever, i.e., DHF Grades I and II, as confirmed after USG by platelet count and serologic tests. USG features included a much-thickened GB wall in all the patients, but showing a and ldquo;Honeycomb and rdquo; pattern (proposed as Sachar and Sunder's sign) in 19 patients (95%), multilayered (laminated/onion peel) in 1 patient (5%), ascites in 15 patients (75%), splenomegaly in 8 patients (40%), and pleural effusion in 14 patients (70%). (Pleural effusion was either right-sided or bilateral, but never alone on the left side.) Conclusions: Abdominal emergency USG can be used as a first-line imaging modality in patients with suspected DHF to detect early signs that are suggestive of the disease prior to obtaining serologic confirmation test results, especially in a dengue fever epidemic area. Also, reducing GB wall thickness can be used as a prognostic sign in cases of DHF. [Arch Clin Exp Surg 2013; 2(1.000): 38-42]http://www.scopemed.org/fulltextpdf.php?mno=21960Ultrasonographydengue haemorrhagic fevergall bladder wall thickeninghoneycomb sign |
| spellingShingle | Sudhir Sachar Sunder Goyal Saurabh Sachar Role of Ultrasonography ( and ldquo;Honeycomb Sign and rdquo;) in Early Detection of Dengue Hemorrhagic Fever Archives of Clinical and Experimental Surgery Ultrasonography dengue haemorrhagic fever gall bladder wall thickening honeycomb sign |
| title | Role of Ultrasonography ( and ldquo;Honeycomb Sign and rdquo;) in Early Detection of Dengue Hemorrhagic Fever |
| title_full | Role of Ultrasonography ( and ldquo;Honeycomb Sign and rdquo;) in Early Detection of Dengue Hemorrhagic Fever |
| title_fullStr | Role of Ultrasonography ( and ldquo;Honeycomb Sign and rdquo;) in Early Detection of Dengue Hemorrhagic Fever |
| title_full_unstemmed | Role of Ultrasonography ( and ldquo;Honeycomb Sign and rdquo;) in Early Detection of Dengue Hemorrhagic Fever |
| title_short | Role of Ultrasonography ( and ldquo;Honeycomb Sign and rdquo;) in Early Detection of Dengue Hemorrhagic Fever |
| title_sort | role of ultrasonography and ldquo honeycomb sign and rdquo in early detection of dengue hemorrhagic fever |
| topic | Ultrasonography dengue haemorrhagic fever gall bladder wall thickening honeycomb sign |
| url | http://www.scopemed.org/fulltextpdf.php?mno=21960 |
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