CONSEQUENCES OF DENGUE FEVER AND CLINICAL PRESENTATION OF PATIENTS IN NISHTER HOSPITAL MULTAN

The dengue fever is an important international health problem dominated by tropical and subtropical countries. Objective: The aim of this study is to examine the clinical findings, trends and outcomes of all dengue cases admitted to Nishter Hospital, Multan. Study Design: A Prospective study Place and Duration: The study was done in the Medical Department of Nishter Hospital for the period of one Year from June 2015 to June 2016. Materials and Methods: 100 patients were included in the study. The majority were male, 54 (54%) and 61% in the 16-40 age group. The most common symptom was fever (100%), headache (90%), myalgia (81%), vomiting (56%) and abdominal pain (48%). The most common hemorrhagic findings were 21% petioles. 22% had dengue hemorrhagic fever, and dengue syndrome occurs in 16%. The observed complications were hepatic dysfunction in 34%, renal insufficiency in 26%, multiorgan failure in 18%, encephalopathy in 12% and ARDS in 12%. 11% was mortality rate. Conclusion: The one of the main causes of undifferentiated fever is Dengue. It occurs as a very nonspecific disease and by primary care physicians is not considered a clinical entity. Key words: Dengue fever syndrome, dengue haemorrhagic fever, dengue fever.