Study of electrolytes in patients of Dengue in a tertiary care hospital in India

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dc.contributor.authorRelwani, Prakash Ramen_US
dc.contributor.authorRedkar, Neelam N.en_US
dc.contributor.authorGarg, Deepanshuen_US
dc.date.accessioned2020-04-09T07:41:58Z
dc.date.available2020-04-09T07:41:58Z
dc.date.issued2019-05
dc.description.abstractBackground: Dengue is a mosquito borne viral infection. It is the most common arboviral disease globally. In the year 2017, India had 1,53,635 cases of dengue with 226 deaths. Electrolyte disturbances reported in dengue infection are hyponatremia, hypokalaemia and hyperchloremia. Considering the serious nature of effects of dyselectrolytemias and high incidence of dengue in India, it is necessary to have a thorough understanding about electrolyte disturbances in Dengue, so as to predict, diagnose and treat them accordingly.Methods: This study was performed in a tertiary care centre in Mumbai, India. The study was a prospective observational cross-sectional study. 150 Patients diagnosed with Dengue were enrolled for the study. Patients’ demographic data, clinical history, examination findings and investigations including electrolyte values were recorded and analysed.Results: A higher incidence of dengue was seen in young age group among admitted patients (74%). Hyponatremia (45.33%) and Hypokalaemia (10.60%) were more commonly observed than hypernatremia (3.33%) and hyperkalaemia (3.33%). Hypochloraemia (6.66%) was seen slightly more than hyperchloraemia (6.00%). Fever was Present in 98.66%, retro orbital headache in 86.66%, vomiting in 56.00%, joint pain in 69.00%, lethargy in 70.66%, breathlessness in 36.00%, bleeding in 8.66%, abdominal pain /tenderness in 18.00%. 85.00% had low platelet count, 30.66% had low hemoglobin and 36.66% had leucopenia. Haematocrit was found to be less in 27.33% and high in 1.33%.Conclusions: From the above results we concluded that, there is a need to have a degree of suspicion about dyselectrolytemias while managing patients with Dengue. Also, patients need to be subjected to necessary lab investigations early during management so that if abnormalities are found, they can be promptly and appropriately managed as some of these abnormalities may lead to increased severity as well as mortality.en_US
dc.identifier.affiliationsDepartment of Medicine, HBT Medical College, Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsStudent, HBT Medical College, Mumbai, Maharashtra, Indiaen_US
dc.identifier.citationRelwani Prakash Ram, Redkar Neelam N., Garg Deepanshu. Study of electrolytes in patients of Dengue in a tertiary care hospital in India. International Journal of Advances in Medicine. 2019 May; 6(3): 769-773en_US
dc.identifier.issn2349-3925
dc.identifier.issn2349-3933
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/194291
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber3en_US
dc.relation.volume6en_US
dc.source.urihttps://dx.doi.org/10.18203/2349-3933.ijam20192114en_US
dc.subjectDengueen_US
dc.subjectElectrolyteen_US
dc.subjectInvestigations in dengueen_US
dc.subjectSevere dengueen_US
dc.subjectSymptoms of dengueen_US
dc.subjectWarning signsen_US
dc.titleStudy of electrolytes in patients of Dengue in a tertiary care hospital in Indiaen_US
dc.typeJournal Articleen_US
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