The prevalence of hypocalcemia in children with dengue infection: A 1-year cross-sectional study

INTRODUCTION: According to WHO, Dengue is fast emerging pandemic-prone viral disease affecting mainly urban poor areas in tropical and subtropical countries. One of the important electrolyte disturbance documented in critical phase of severe dengue is hypocalcaemia. Hypocalcaemia is seen in cases wi...

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Main Authors: Anshika Rajendra Singh, D K Dnyanesh
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Indian Journal of Health Sciences and Biomedical Research KLEU
Subjects:
Online Access:http://www.ijournalhs.org/article.asp?issn=2542-6214;year=2019;volume=12;issue=2;spage=166;epage=173;aulast=Singh
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author Anshika Rajendra Singh
D K Dnyanesh
author_facet Anshika Rajendra Singh
D K Dnyanesh
author_sort Anshika Rajendra Singh
collection DOAJ
description INTRODUCTION: According to WHO, Dengue is fast emerging pandemic-prone viral disease affecting mainly urban poor areas in tropical and subtropical countries. One of the important electrolyte disturbance documented in critical phase of severe dengue is hypocalcaemia. Hypocalcaemia is seen in cases with severe dengue and has been claimed to be linked with the immune response and severity of infection. OBJECTIVES: To study the prevalence of hypocalcaemia in children suffering from dengue infection. To study the association between the degree of hypocalcaemia and the severity of the illness. SETTINGS AND DESIGN: This study was a one year cross sectional study, conducted in a tertiary care hospital. METHODS AND MATERIAL: 100 subjects aged 1 month to 18 years suffering from dengue fever were included in the study. iCa and other biochemical parameters were done for all the subjects within 24 hour of admission. The collected data was coded and analyzed using ANOVA and chi-square tests. RESULTS: The mean age was 9.65 yr. The subjects were classified as per 2009 WHO criteria. The prevalence of iCa was found to be 59.0%. 11.7% subjects with dengue without warning signs, 83.7% subjects of dengue with warning signs and 100% of the subjects of severe dengue had hypocalcaemia. CONCLUSIONS: This study proves the association of the hypocalcaemia with the severity of dengue infection in the paediatric population and potentiates the use of ionic calcium as a biochemical marker to detect severe dengue infection early.
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spelling doaj.art-bfa19ff31a3a4c4f8513f1d39a7d6cd72022-12-21T19:44:27ZengWolters Kluwer Medknow PublicationsIndian Journal of Health Sciences and Biomedical Research KLEU2542-62142542-62222019-01-0112216617310.4103/kleuhsj.kleuhsj_308_18The prevalence of hypocalcemia in children with dengue infection: A 1-year cross-sectional studyAnshika Rajendra SinghD K DnyaneshINTRODUCTION: According to WHO, Dengue is fast emerging pandemic-prone viral disease affecting mainly urban poor areas in tropical and subtropical countries. One of the important electrolyte disturbance documented in critical phase of severe dengue is hypocalcaemia. Hypocalcaemia is seen in cases with severe dengue and has been claimed to be linked with the immune response and severity of infection. OBJECTIVES: To study the prevalence of hypocalcaemia in children suffering from dengue infection. To study the association between the degree of hypocalcaemia and the severity of the illness. SETTINGS AND DESIGN: This study was a one year cross sectional study, conducted in a tertiary care hospital. METHODS AND MATERIAL: 100 subjects aged 1 month to 18 years suffering from dengue fever were included in the study. iCa and other biochemical parameters were done for all the subjects within 24 hour of admission. The collected data was coded and analyzed using ANOVA and chi-square tests. RESULTS: The mean age was 9.65 yr. The subjects were classified as per 2009 WHO criteria. The prevalence of iCa was found to be 59.0%. 11.7% subjects with dengue without warning signs, 83.7% subjects of dengue with warning signs and 100% of the subjects of severe dengue had hypocalcaemia. CONCLUSIONS: This study proves the association of the hypocalcaemia with the severity of dengue infection in the paediatric population and potentiates the use of ionic calcium as a biochemical marker to detect severe dengue infection early.http://www.ijournalhs.org/article.asp?issn=2542-6214;year=2019;volume=12;issue=2;spage=166;epage=173;aulast=SinghBiochemical markersdenguehypocalcemiaionic calciumsevere dengue
spellingShingle Anshika Rajendra Singh
D K Dnyanesh
The prevalence of hypocalcemia in children with dengue infection: A 1-year cross-sectional study
Indian Journal of Health Sciences and Biomedical Research KLEU
Biochemical markers
dengue
hypocalcemia
ionic calcium
severe dengue
title The prevalence of hypocalcemia in children with dengue infection: A 1-year cross-sectional study
title_full The prevalence of hypocalcemia in children with dengue infection: A 1-year cross-sectional study
title_fullStr The prevalence of hypocalcemia in children with dengue infection: A 1-year cross-sectional study
title_full_unstemmed The prevalence of hypocalcemia in children with dengue infection: A 1-year cross-sectional study
title_short The prevalence of hypocalcemia in children with dengue infection: A 1-year cross-sectional study
title_sort prevalence of hypocalcemia in children with dengue infection a 1 year cross sectional study
topic Biochemical markers
dengue
hypocalcemia
ionic calcium
severe dengue
url http://www.ijournalhs.org/article.asp?issn=2542-6214;year=2019;volume=12;issue=2;spage=166;epage=173;aulast=Singh
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