Sunita Bajaj1, D. Ravi Chander2
BACKGROUND
Dengue fever (DF) is a viral haemorrhagic fever causing severe morbidity and mortality in affected patients. The aim of the
study is to describe the role of ultrasonography (USG) in the assessment of patients with Dengue fever, and its complications
and to prove ultrasound is useful in the diagnosis during an epidemic.
MATERIALS AND METHODS
It is a prospective study was conducted in 2016 comprising of 178 patients who were serologically positive for dengue,
radiological investigations were conducted in all cases.
RESULTS
Out of 178 patients Males (N=117) are more effected subjects in the study. female: Male ratio is 1:2. Hepatomegaly 74.1%
which is most common findings in study, 113 (63.4%) had GB wall thickening 98 had ascites (55%), 32 had pleural effusion
(17.9%). most commonly seen in the age group of 20-39 years. Hepatomegaly was the most common finding noted in 67
patients (37.6%), followed by GB wall thickening in 65 patients (36.1%). Hepatomegaly was more common in 0-19 is 56
patients with 31.4% years age group Ascites in >40 years age group (16.8%). Hepatomegaly was seen in most of the patients
whose platelet count was <40,000. (94.7%). GB wall thickening (88.5%) common findings seen in patients whose platelet
count was <40,000. In patients with platelet count of 40,000-80,000, Ascites is most common finding (87.5%), followed by
Splenomegaly (60.7%). In patients whose platelet count was 80,000-150,000, Ascites (50%) was more common than
Splenomegaly (45.8%). In three patients with platelet count more than 150,000, no sonological abnormality was detected.
CONCLUSIONS
Ultrasound findings of hepatic changes, GB wall oedema, splenomegaly, ascites and pleural effusion in patients presenting
with signs and symptoms of Dengue fever during an epidemic are diagnostic. Contributing in the differential diagnosis with
other causes of febrile disease.
