Prevalence of Thrombocytopenia in Dengue Fever Patients

N. Khan, S. Hussain
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Abstract

Dengue fever (DF) is an intense febrile disease described by abrupt beginning of fever of 3-5 days, intense migraine, myalgia, joint pain, retro-orbital agony, anorexia, gastrointestinal unsettling influences and different levels of thrombocytopenia. Thrombocytopenia has reliably been one of the likely clinical pointers of dengue severity. As our studies revealed that overall prevalence of thrombocytopenia in Dengue is high i.e., 69% from mild to severe. However, since the female to male ratio i.e., 21:79 was unfairly very low to generalize the gender-wise prevalence result. In addition, severity of clinical manifestation of dengue disease were correlated with the respective platelet counts and there was a negative correlation between platelet count and clinical complications indicating that lower the platelet count more are the complications and their respective severity as patients with lower platelet count was found to have higher chances of non-hemorrhagic complications. Further forthcoming investigations are expected to assess the utility of other blood indices in dengue fever so, there is a need to concentrate on the detail hematology profile and comprehend its significance so that the adverse outcomes of this rapidly spreading disease can be controlled to a great extent.
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登革热患者血小板减少症的患病率
登革热(DF)是一种发热性很强的疾病,表现为3-5天的突然发热、剧烈偏头痛、肌痛、关节痛、眶后疼痛、厌食、胃肠道不安影响和不同程度的血小板减少。血小板减少已经可靠地成为登革热严重程度的可能临床指标之一。我们的研究显示,登革热患者血小板减少症的总体患病率很高,即从轻度到重度为69%。然而,由于女性与男性的比例,即21:79,不公平地非常低,无法概括性别方面的患病率结果。此外,登革热临床表现的严重程度与血小板计数相关,血小板计数与临床并发症呈负相关,血小板计数越低,并发症及其严重程度越高,血小板计数越低的患者发生非出血性并发症的可能性越大。预计未来的进一步调查将评估其他血液指标在登革热中的效用,因此有必要集中注意详细的血液学概况并了解其重要性,以便在很大程度上控制这种迅速传播的疾病的不良后果。
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