For investigate the role of ultrasound and platelets count as an important marker for the diagnosis and prognosis of dengue patients

Sunaina ., Vishal K. Desai, Rahul Saini, Rashmi Arora


Background: Dengue is although self limiting viral disease but if severe complications take place than it becomes lethal. Plasma leakage is main pathology which results in fluid deposits in various organs. This plasma leakage is related to platelet count. Most important thing in treating dengue patient is to know the complications at the earliest. And ultrasound is the most sensitive and easily approachable, cost effective investigation for detecting the complications.

Methods: This cross-sectional observational pilot study was carried out in the department of radiodiagnosis, pandit bhagwat dayal Sharma institute of medical sciences, Rohtak. One hundred and two patients with serologically confirmed dengue fever were included in this study. Ultrasound examinations were carried out by ultrasound machine with 5-13 MHZ probe by radiologists. Abdomen and thorax scanning were done thoroughly. Important findings like Gall bladder thickening hepatomegaly, splenomegaly, free fluid which are pathological markers for dengue were specially seen. Then these findings are relate to the age group and platelet count.

Results: By applying chi square test we found that there is statistically difference in number of patients in age group 16-30 yrs having gall bladder wall thickening, hepatomegaly, free fluid, splenomegaly and pleural effusion as compared to other age groups (p<0.05) an also in patients having less than 20,000 platelets, only gall bladder thickening, ascites and hepatomegaly were statistically more significant as compared to other groups having more number of platelets (p<0.05).

Conclusions: So, ultrasound and platelet count are important markers for diagnosis and prognosis of dengue patients. Ultrasound and Platelets count are important markers for the diagnosis as well as prognosis of dengue patients.


Dengue, Platelets, Ultrasound

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Venkata Sai PM, Dev B, Krishnan R. Role of ultrasound in dengue fever. Br J Radiol. 2005;78:416-8.

Sai PMV, Dev B, Krishnan R. Role of ultrasound in dengue fever. British Journal of Radiolog. 2005;78:416-8.

Wu KL, Changchien CS, Kuo CH, Chiu KW, Lu SN, Kuo CM, et al. Early abdominal sonographic findings in patients with dengue fever. Journal of Clinical Ultrasound. 2004 Oct 1;32(8):386-8.

Thulkar S, Sharma S, Srivastava DN, Sharma SK, Berry M, Pandey RM. Sonographic findings in grade III dengue hemorrhagic fever in adults. Journal of clinical ultrasound. 2000 Jan 1;28(1):34-7.

Konuş OL, Ozdemir A, Akkaya A, Erbaş G, Celik H, Işik S. Normal liver, spleen, and kidney dimensions in neonates, infants, and children: Evaluation with sonography. AJR Am J Roentgenol. 1998;171:1693-8.

Setiawan MW, Samsi TK, Pool TN, Sugianto D, Wulur H. Gallbladder wall thickening in dengue haemorrhagic fever: an ultrasonographic study. J Clin Ultrasound. 1995;23(6):357-62.

Joshi V, Mourya DT. Sharma RC. Persistence of Dengue-3 virus through transovarial passage in successive generations of Aedes aegypti mosquitoes. American Journal of Tropical Medicine and Hygiene. 2002;67(2):158-61.

VR Santhosh, Patil PG, Srinath MG, Kumar A, Jain A, Archana M. Sonography in the Diagnosis and Assessment of Dengue Fever. J Clin Imaging Sci. 2014;4:14.

Sachar S, Goyal S, Sacha S. Role of Ultrasonography (Honeycomb Sign) in Early Detection of Dengue Hemorrhagic Fever. Arch Clin Exp Surg. 2013;2(1):38-42.

Asghar J, Farooq K. Radiological appearance and their significance in the management of dengue hemorrhagic fever. Pak J Med Health Sci. 2011;5:685-92.

Chandak S, Kumar A. Can radiology play a role in early diagnosis of dengue fever? North Am J Med Sci. 2016;8:100-05.