Polyserositis in Dengue Fever: Its prevalence and Association with Clinical and Laboratory Parameters in a Tertiary Care Hospital

Authors

  • R.S.Ahlawat SMS&R , Sharda University Greater Noida
  • Shailly Singhania SMS&R ,Sharda University, Greater Noida
  • Neelabh Pratap SMS&R ,Sharda University, Greater Noida
  • Apoorva Shetty SMS&R ,Sharda University, Greater Noida https://orcid.org/0000-0001-8910-8250 (unauthenticated)
  • Apoorva Shetty SMS&R ,Sharda University, Greater Noida

DOI:

https://doi.org/10.37506/m2qd3s22

Keywords:

dengue, polyserositis, atypical manifestation of dengue

Abstract

Dengue fever is an emerging public health problem in a large endemic population in tropical and sub-tropical areas of the world. This study was aimed at analyzing the prevalence and association of clinical and laboratory parameters in dengue fever. Total 439 fever cases were screened out of which 176   were detected to have dengue infection. The mean age of the study participants was 32.9 ± 12.5 years. In our study we detected serous cavity involvement in 152 patients and in this group 110 (62.5%) patients had single serous cavity involvement which was either pleural cavity or peritoneal cavity and 42 (23.9%) had  polyserositis. 24  patients had no involvement of the serous cavity. We observed that haemoglobin level, blood urea and Packed cell volume was notably higher and platelets were low in patients with polyserositis. While fever was the predominant symptom, there were atypical presentations, such as diarrhoea. This study helps in comprehensive understanding of the normal and atypical clinical symptoms, as well as the potential consequences of dengue and its  significance on  serositis, which is crucial for prompt diagnosis and effective treatment.

Author Biographies

  • R.S.Ahlawat , SMS&R , Sharda University Greater Noida

    Professor, Department of Medicine, SMS&R , Sharda University Greater Noida

  • Shailly Singhania, SMS&R ,Sharda University, Greater Noida

    Post Graduate Resident 2nd year, Department of Medicine, SMS&R ,Sharda University, Greater Noida

  • Neelabh Pratap, SMS&R ,Sharda University, Greater Noida

    Assistant Professor , Department of Medicine, SMS&R ,Sharda University,Greater Noida

  • Apoorva Shetty, SMS&R ,Sharda University, Greater Noida

    Assistant Professor, Department of Medicine ,SMS&R ,Sharda University, Greater Noida

  • Apoorva Shetty, SMS&R ,Sharda University, Greater Noida

    Assistant Professor, Department of Medicine ,SMS&R ,Sharda University, Greater Noida

References

World Health Organization: WHO, World Health Organization: WHO. Dengue and severe dengue 2024. https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue.

Dengue Clinical Presentation | CDC. Centers for Disease Control and Prevention. 2023.https://www.cdc.gov/dengue/healthcare-providers/clinical-presentation.html

Kabra R, Talwar D, Kumar S, Acharya S, Jaiswal P. Serositis as a presenting feature of dengue fever in a young female: Forecast of upcoming Dengue shock syndrome. Journal of Clinical and Diagnostic Research. 2022 Jan 1; https://doi.org/10.7860/jcdr/2022/51965.16421

World Health Organization: WHO and World Health Organization: WHO. “Dengue and Severe Dengue,” April 23, 2024. https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue.

Jisamerin J, Mohamedkalifa A, Gaur A. Dengue: a neglected disease of concern. Curēus [Internet]. 2021 Oct 5;https://www.cureus.com/articles/60512-dengue-a-neglected-disease-of-concern#!/

Kumar A, Rongpharpi SR, Duggal SD, Gur R, Choudhary S, Khare P: Clinical, epidemiological and microbiological profile of dengue fever at a tertiary care hospital in Delhi, India. J Infect Dis Med. 2017, 2:1000110. 10.4172/2576-1420.1000110

Padmaprakash KV, Jha VK, Bhushan S, Deepkamal, Sowmya KC: Demographic and clinical profile of dengue fever in a tertiary care hospital of south India. J Assoc Physicians India. 2020, 68:24-7.

Lee IK, Huang CH, Huang WC: Prognostic factors in adult patients with dengue: developing risk scoring models and emphasizing factors associated with death ≤7 days after illness onset and ≤3 days after presentation. J Clin Med. 2018, 7:396. 10.3390/jcm7110396

Mutheneni SR, Morse AP, Caminade C: Dengue burden in India: recent trends and importance of climatic parameters. Emerg Microbes Infect. 2017, 6:e70. 10.1038/emi.2017.57

Mohan K, Malaiyan J, Nasimuddin S, et al.: Clinical profile and atypical manifestation of dengue fever cases between 2011 and 2018 in Chennai, India. J Family Med Prim Care. 2020, 9:1119-23. 10.4103/jfmpc.jfmpc_926_19

Lam PK, Ngoc TV, Thu Thuy TT, et al.: The value of daily platelet counts for predicting dengue shock syndrome: results from a prospective observational study of 2301 Vietnamese children with dengue. PLoS Negl Trop Dis. 2017, 11:e0005498. 10.1371/journal.pntd.0005498

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Published

2025-06-07

How to Cite

Polyserositis in Dengue Fever: Its prevalence and Association with Clinical and Laboratory Parameters in a Tertiary Care Hospital. (2025). Indian Journal of Public Health Research & Development, 16(3), 234-241. https://doi.org/10.37506/m2qd3s22