STUDY TO SEE THE USE OF ULTRASOUND IN THE DIAGNOSIS AND MANAGEMENT OF DENGUE FEVER (DF)

V. K. Singh*, Rekha Khare, Pratap Shankar, Dheeraj Singh, Preet Lakhani, Sachin Tutu, Amod Kumar, R. K. Dixit

ABSTRACT

This study was conducted to evaluate ultrasonic (USG) finding in Dengue fever cases and effect of climate changes. 109 patients (age 5 to 70 year) who were serologically diagnosed as having DF between July, 2014 and October, 2014 were referred for USG, the imaging findings and the effect of climate analyzed. Out of 109 patients, all patients showed G.B. wall thickening, 72% honeycomb pattern , 69% hepatomegaly, 77% have spleenomegaly, 88% Rt. Pleural effusion was seen and B/L pleural effusion was in 23%, 58% having ascites and pericardial effusion observed in 9%. Sonographic features of thickened GB wall, pleural effusion, ascites, hepatomegly and spleenomegaly strongly favour the diagnosis of DF in patients presenting with fever and associated symptoms, especially correlation with climatic or seasonl changes either due to decrease in virus virulence or herd immunity.

Keywords: Dengue fever, Ultra sound, Management, Diagnosis.