1Associate Professor, Department of Radiodiagnosis, SMS&R, Sharda Hospital, Sharda University, Knowledge Park III, Greater Noida, UP
2Assistant Professor, Department of Medicine, SMS&R, Sharda Hospital, Sharda University, Knowledge Park III, Greater Noida, UP
Online published on 14 October, 2016.
Dengue viral infection has emerged as a serious international public health threat with almost half of the world's population at risk. The objective of the following study was to describe the sonographic findings in dengue fever and to determine the role of ultrasound as an adjunct to clinical and laboratory profile in diagnosis of dengue fever (DF).
Clinical, laboratory and sonographic findings of 126 patients who fulfilled standard serological diagnostic criteria for DF were collected, compiled and analyzed.
Out of the 126 patients, 92 had gall bladder (GB) wall thickening (73.01%), 81 had ascites (64.28%), 32 had bilateral pleural effusion (25.39%), 25 had isolated right pleural effusion (19.84%), only 4 had isolated left pleural effusion (3.17%), 49 had hepatomegaly (38.88%), 27 had splenomegaly (21.42%), 2 had pericardial effusion (1.58%) and 12 had perinephric collection (9.52%). The sonographic abnormalities were significantly higher in patients with decreased platelet count with GB wall thickening seen in 96.55% of patients with platelet count of less than 50, 000 along with ascites (84.48%) and pleural effusion (70.68%).
Sonography is a reliable tool for the diagnosis of plasma leakage signs in dengue viral infection before serological investigations become available, and may also predict the severity of the disease.
Dengue fever, Gall bladder wall thickening, Sonography in Dengue fever