Dengue fever is one of the most commonly occurring mosquito borne-viral illnesses that has a wide range of presentation in children and is common during the monsoon season. The severity of illness ranges from mild undifferentiated fever, dengue with warning signs, severe dengue fever and dengue fever with organ dysfunction. The symptoms of dengue may be easily mistaken for those of flu or other viral infections. Contrary to other fevers, complications in dengue occur during the phase of defervescence and can be life threatening in children due to shock or profuse hemorrhage. 55 dengue positive children who were diagnosed by dengue antigen detection or dengue antibody positive were included in the study. Most of children were above 10 years and the commonest presenting symptoms were fever, headache, body pain, nausea, anorexia, abdominal pain and vomiting. Most of the children presented with two or more warning signs like persistent vomiting, thrombocytopenia, increasing hematocrit and hepatomegaly. Few children developed features of early shock, which was diagnosed early and treated effectively. All the children responded well to treatment measures and recovered well during hospital stay. Having a high of suspicion and careful monitoring of children is crucial for reducing occurrence of complications and death due to this severe infection.

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Diabetes mellitus is a major health problem all over the world. Blood glucose measurement has limited value in assessing the long term glycaemic control. Estimation of HbA1c is now routinely used in clinical laboratories for long term assessment of glyceamic control. The result of different methods of HbA1C estimation has a lot of variations and hence it is essential to compare their results. This study is aimed to assess the accuracy and reliability of estimation of HbA1c levels by PEITT and Column Chromatography with ion-exchange resin by comparing it with the hba1c levels of High-performance liquid chromatography (HPLC) which is a reference method. We have included 50 patients of type 2 diabetes mellitus in our study. HbA1c was determined using BIO RAD D-10 HbA1c Analyzer, Immuno-turbidimetric assay in ERBA-Chem semi automated analyzer and Column chromatography with Ion-exchange resin method in ERBA-Chem semi automated analyzer. The results obtained from Immuno-turbidimetric assay and Ion-exchange resin methods were compared with the results of BIO RAD D-10 HbA1c Analyzer. The results obtained from Particle Enhanced Immuno-Turbidimetric Test method showed a better correlation with BIO RAD D-10 HbA1c Analyzer than Column chromatography with Ion-exchange resin (CCG-IER). Hence, Particle Enhanced Immuno-Turbidimetric Test method is more reliable and accurate and can be used as an alternative method to HPLC in clinical laboratories.

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