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Original Research 


Evaluation of Ultrasonography as an Adjunct for Diagnosis of Dengue Fever Among Children

R. P. Shamikumar , Syed Mohammed, Ashika Banu M., Janani M. Z., Chethan Srinivasan, T. S. L. Ananya .

Abstract
Introduction: This study aims to evaluate the role of ultrasonography (USG) for early diagnosis of clinically suspected dengue fever before it becomes serologically positive and usefulness of USG in predicting severity of the disease. Methods: Prospective observational study conducted at a tertiary care hospital from April 2020 to March 2021, 70 cases of clinically suspected dengue within the age group of 6 months to 15 years presenting with fever for less than 5days underwent whole abdomen and chest ultrasonography. For seropositive cases, ultrasonography findings and their utility in early diagnosis and prediction of disease severity was analyzed along with their correlation to the clinical and laboratory profiles.Results:75.8% had primary dengue and 24.2% had secondary dengue. 94% cases demonstrated ultrasonography features suggestive of dengue like hepatomegaly (81%), ascites (63.8%), splenomegaly (56.9%), gall bladder wall thickness (46.6%), Cholecystitis (44.8%) and Pleural effusion (41.4%). Ascites and pleural effusion correlated well with clinical severity (p<0.05). Ascites also had significant correlation with increased hematocrit (p=0.040) and thrombocytopenia (p=0). Significant correlation was observed between pleural effusion with decreased platelet count ((p=0.004) and decreased serum sodium levels (p=0.044). Gall bladder wall thickening >5mm correlated well with disease severity. USG showed 94.3% sensitivity, 16.67% specificity and 81.43% of diagnostic accuracy in the seropositive cases of this study. Conclusion: Ultrasonography is useful not only as an adjuvant for early diagnosis of Dengue fever but also as a marker of disease severity.

Key words: dengue, disease severity, early diagnosis, seropositive, ultrasonography


 
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How to Cite this Article
Pubmed Style

RPS, Mohammed S, M. AB, Z. JM, Srinivasan C, TSLA, . Evaluation of Ultrasonography as an Adjunct for Diagnosis of Dengue Fever Among Children. Int J Med Rev Case Rep. 2023; 7(4): 57-62. doi:10.5455/IJMRCR.172-1683212349


Web Style

RPS, Mohammed S, M. AB, Z. JM, Srinivasan C, TSLA, . Evaluation of Ultrasonography as an Adjunct for Diagnosis of Dengue Fever Among Children. https://www.mdpub.net/?mno=152156 [Access: December 06, 2023]. doi:10.5455/IJMRCR.172-1683212349


AMA (American Medical Association) Style

RPS, Mohammed S, M. AB, Z. JM, Srinivasan C, TSLA, . Evaluation of Ultrasonography as an Adjunct for Diagnosis of Dengue Fever Among Children. Int J Med Rev Case Rep. 2023; 7(4): 57-62. doi:10.5455/IJMRCR.172-1683212349



Vancouver/ICMJE Style

RPS, Mohammed S, M. AB, Z. JM, Srinivasan C, TSLA, . Evaluation of Ultrasonography as an Adjunct for Diagnosis of Dengue Fever Among Children. Int J Med Rev Case Rep. (2023), [cited December 06, 2023]; 7(4): 57-62. doi:10.5455/IJMRCR.172-1683212349



Harvard Style

, R. P. S., Mohammed, S., M., A. B., Z., J. M., Srinivasan, C., , T. S. L. A. & (2023) Evaluation of Ultrasonography as an Adjunct for Diagnosis of Dengue Fever Among Children. Int J Med Rev Case Rep, 7 (4), 57-62. doi:10.5455/IJMRCR.172-1683212349



Turabian Style

, R. P. Shamikumar, Syed Mohammed, Ashika Banu M., Janani M. Z., Chethan Srinivasan, T. S. L. Ananya, and . 2023. Evaluation of Ultrasonography as an Adjunct for Diagnosis of Dengue Fever Among Children. International Journal of Medical Reviews and Case Reports, 7 (4), 57-62. doi:10.5455/IJMRCR.172-1683212349



Chicago Style

, R. P. Shamikumar, Syed Mohammed, Ashika Banu M., Janani M. Z., Chethan Srinivasan, T. S. L. Ananya, and . "Evaluation of Ultrasonography as an Adjunct for Diagnosis of Dengue Fever Among Children." International Journal of Medical Reviews and Case Reports 7 (2023), 57-62. doi:10.5455/IJMRCR.172-1683212349



MLA (The Modern Language Association) Style

, R. P. Shamikumar, Syed Mohammed, Ashika Banu M., Janani M. Z., Chethan Srinivasan, T. S. L. Ananya, and . "Evaluation of Ultrasonography as an Adjunct for Diagnosis of Dengue Fever Among Children." International Journal of Medical Reviews and Case Reports 7.4 (2023), 57-62. Print. doi:10.5455/IJMRCR.172-1683212349



APA (American Psychological Association) Style

, R. P. S., Mohammed, S., M., A. B., Z., J. M., Srinivasan, C., , T. S. L. A. & (2023) Evaluation of Ultrasonography as an Adjunct for Diagnosis of Dengue Fever Among Children. International Journal of Medical Reviews and Case Reports, 7 (4), 57-62. doi:10.5455/IJMRCR.172-1683212349