The Indian Journal of Pediatrics

, Volume 84, Issue 12, pp 897–901 | Cite as

The Clinical and Serological Profile of Pediatric Dengue

  • Sujatha Ramabhatta
  • Saravanan Palaniappan
  • Navya Hanumantharayappa
  • Shaik Vajidunnisa Begum
Original Article

Abstract

Objective

To classify suspected dengue into dengue, dengue with warning signs and severe dengue, based on clinical features as per the revised WHO guidelines with special emphasis on serology.

Methods

It was a prospective cross-sectional study for five years from 2011–2016 in a tertiary care medical college hospital in Bangalore. All cases of fever of three to five days duration with symptoms like dengue were enrolled for the study. They were categorized into three groups as per the Revised WHO 2012 criteria. Laboratory parameters, serology, ultrasound abdomen and X-ray were done in almost all patients. Data was analysed by SPSS software, version 16, and different groups were compared with Chi square test.

Results

Five hundred sixty eight children were diagnosed to have dengue fever; 4.2% of the sample belonged to infancy. Majority were in the age group of 5–10 y (42.6%). Fever and flushing were present in majority of the children. Gastrointestinal bleed was more commonly seen in the severe dengue group. Dengue nonstructural protein antigen (NS1Ag) was positive in 78%, immunoglobulin M (IgM) in 15.8% and immunoglobulin G (IgG) in 14.6%. Children with IgG had more complications, though not statistically significant. Mortality was reported in 1.2%. Dengue serology helped to confirm the diagnosis, however did not help in patient management.

Conclusions

There is a considerable overlap in the symptomatology of dengue with warning signs and severe dengue. More studies are required on the severity and type of response to treatment in infants and obese adoloscents with severe dengue.

Keywords

Dengue Dengue with warning signs Severe dengue NS1Ag IgG IgM antibodies 

Notes

Acknowledgements

The authors would like to thank Dr. Vinod K Ramani, Associate Professor, Department of Community Medicine, Sapthagiri Instritute of Medical Sciences, Bengaluru and Mrs. Lavanya, Statistician, SIMS & RC for their help in analyzing data.

Contributions

SR continued the pilot project published earlier in 2011, compiled data, edited and submitted the manuscript. SP wrote the manuscript. NH and SVB collected the data. SR will act as guarantor for the paper.

Compliance with Ethical Standards

Conflict of Interest

None.

Source of Funding

None.

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Copyright information

© Dr. K C Chaudhuri Foundation 2017

Authors and Affiliations

  1. 1.Department of PediatricsShifaa HospitalBengaluruIndia
  2. 2.Department of PediatricsSapthagiri Institute of Medical Sciences and Research CentreBengaluruIndia

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