The 1996 outbreak of dengue hemorrhagic fever in Delhi, India.

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dc.contributor.authorAnuradha, Sen_US
dc.contributor.authorSingh, N Pen_US
dc.contributor.authorRizvi, S Nen_US
dc.contributor.authorAgarwal, S Ken_US
dc.contributor.authorGur, Ren_US
dc.contributor.authorMathur, M Den_US
dc.date.accessioned2009-05-27T16:40:45Z
dc.date.available2009-05-27T16:40:45Z
dc.date.issued1998-09-07en_US
dc.descriptionThe Southeast Asian Journal of Tropical Medicine and Public Health.en_US
dc.description.abstractA major outbreak of dengue hemorrhagic fever (DHF) affected more than 10,000 people in Delhi and neighboring areas in 1996. The outbreak started in September, peaked in October to November and lasted till early December. The clinical and laboratory data of 515 adult patients admitted to Lok Nayak Hospital, New Delhi were reviewed. Fever (100%), myalgias and malaise (96%), abdominal pain (10.2%) and vomiting (8.7%) were the prominent presenting features. Hemorrhagic manifestations were seen in all patients- a positive tourniquet test (21.2%), scattered petechial rash (23.07%), confluent rash (2.7%), epistaxis (38.4%), gum bleeds (28.06%) and hematemesis (22.86%) being the major bleeding manifestations. Hepatomegaly was observed in 96% of the patients. Laboratory investigations revealed thrombocytopenia, hemoconcentration and leukopenia. Serological confirmation with a microcapture ELISA technic was done in 143/515 patients. The mortality rate was 6.6% and, multiple bleeding manifestations, severe thrombocytopenia, hypoproteinemia and dengue shock syndrome (DSS) were associated with a higher mortality.en_US
dc.description.affiliationDepartment of Medicine, Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi, India.en_US
dc.identifier.citationAnuradha S, Singh NP, Rizvi SN, Agarwal SK, Gur R, Mathur MD. The 1996 outbreak of dengue hemorrhagic fever in Delhi, India. The Southeast Asian Journal of Tropical Medicine and Public Health. 1998 Sep; 29(3): 503-6en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/35762
dc.language.isoengen_US
dc.source.urihttps://www.tm.mahidol.ac.th/seameo/1998-29-3/1998-29-3-503.pdfen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshChilden_US
dc.subject.meshDengue Hemorrhagic Fever --epidemiologyen_US
dc.subject.meshDisease Outbreaksen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIndia --epidemiologyen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshSeasonsen_US
dc.subject.meshUrban Populationen_US
dc.titleThe 1996 outbreak of dengue hemorrhagic fever in Delhi, India.en_US
dc.typeJournal Articleen_US
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