Role of Ultrasonography (&amp;#147;Honeycomb Sign&amp;#148;) in Early Detection of Dengue Hemorrhagic Fever

Sachar, Sudhir; Goyal, Sunder; Sachar, Saurabh

doi:10.5455/aces.20120828025157

Cited by 10 publications

(16 citation statements)

References 16 publications

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“…Some literature studies have shown GB wall thickening of greater than 5 mm or a reticular aspect as a poor prognostic factor for patients with dengue. 26,27 However, those studies considered patients with ascites or who developed severe forms of the disease (hemorrhagic dengue), which differed from the inclusion criteria of our study (patients without severe forms), justifying our median GB thickening value of 3.1 mm (interquartile range, 2.8-3.7 mm).…”

Section: Discussionmentioning

confidence: 85%

Ultrasound Assessment of Hepatobiliary and Splenic Changes in Patients With Dengue and Warning Signs During the Acute and Recovery Phases

Ferreira

Correia

2018

J of Ultrasound Medicine

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Objectives To evaluate whether abdominal ultrasound (US) with a gallbladder (GB) contractility study or motor function test can be used as a diagnostic tool in patients with dengue and warning signs in acute and recovery phases. Methods Fifty‐one individuals in the acute phase of dengue presenting with warning signs (dengue group) and 49 healthy individuals without a history of dengue or hepatobiliary disease (control group) were studied with abdominal US and a GB contractility study. Results Statistical differences in US measurements of the liver (right lobe, P = .012; left lobe, P = .001) and spleen (P = .008) dimensions, GB wall thickness (P < .001), and the GB emptying fraction (P < .001) were observed in dengue during the acute phase compared with the control group. After 60 days, abdominal US of the dengue group showed a statistical difference in liver (right lobe, P < .001; left lobe, P = .078) and spleen (P < .001) dimensions, GB wall thickness, and the GB emptying fraction (P < .001) compared with the results obtained during the acute phase. Furthermore, a statistical difference in the spleen volume and GB emptying fraction (P < .001) was observed when comparing dengue after clinical recovery and the control group. Abdominal pain in patients with dengue was positively associated with hepatomegaly (P = .031), splenomegaly (P = .008), increased GB wall thickness (P = .016), and a reduced GB emptying fraction (P = .038) during the acute phase and with splenomegaly (P = .001) and a reduced GB emptying fraction (P = .003) after clinical recovery. Conclusions Abdominal US with a GB motor function test can be used as a diagnostic tool in patients with dengue during acute and recovery phases.

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Section: Discussionmentioning

confidence: 85%

Ultrasound Assessment of Hepatobiliary and Splenic Changes in Patients With Dengue and Warning Signs During the Acute and Recovery Phases

Ferreira

Correia

2018

J of Ultrasound Medicine

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“…9 Another authors Asghar J et al, and Chandak S et al, have found in their studies, hepatomegaly and splenomegaly as most common findings. 10,11 The above variations may be due to the difference in sample size and quality.…”

Section: Discussionmentioning

confidence: 92%

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

Sunaina

Desai

Saini³

et al. 2018

Int J Res Med Sci

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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.

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“…Sudhir Sachar et al had done a study on 20 patients with dengue fever, which was confirmed with platelet count and serologic tests. USG features included thickened GB wall in all (100%) patients, ascites was seen in 15 patients (75%), splenomegaly was present in 8 patients (40%), and pleural effusion in 14 patients (70%) [16] In a study done by Williandry M. et al the sonographic findings in pediatric patients including hepatomegaly (39.4%), splenomegaly (6.1%), thickened gallbladder wall (51.5%), ascites (27.3%), perinephric fluid (15.2%) right and bilateral pleural effusion (15.2% and 21.2%).…”

Section: Discussionmentioning

confidence: 99%

Role of ultra sonography (chest and abdomen) in diagnosis and early prediction of severity of dengue fever

et al. 2019

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Introduction:The diagnosis of Dengue fever is often delayed owing to time taken for availability of serology test results. Ultrasonography (USG) is a cheap, rapid and widely available non-invasive imaging method. Aim of the study was to access the role of ultrasonographic features of thorax and abdomen in diagnosis and early prediction of severity of dengue fever. Material and Method: It was aobservational descriptive study, conducted during the period of September 2017 to august 2018 at department of Paediatrics, J. K. Lon Mother and Child Hospital, Government Medical College, Kota. Out of 122 suspected dengue fever cases of age group 2 month to 18 years, 84 children were seropositive for dengue fever, were sent for Ultrasound scan of the abdomen and thorax. Result: 59(70.23%) cases were in mild dengue group and 25(29.76%) cases were in severe dengue group. All cases had fever. About 41(57.14%) cases had vomiting, 48(57.14%) had pain abdomen, 54 (64.28%) had Petechiae, 45 (53.57%) had melena. 38 (45.23%) had hepatomegaly, 21 (25%) had splenomegaly and 25 (29.76%) had hypotension. Gall bladder wall edema, ascites, pleural effusion, hepatomegaly, splenomegaly and perinephric edema were present in

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Role of Ultrasonography (Honeycomb Sign) in Early Detection of Dengue Hemorrhagic Fever

Cited by 10 publications

References 16 publications

Ultrasound Assessment of Hepatobiliary and Splenic Changes in Patients With Dengue and Warning Signs During the Acute and Recovery Phases

Ultrasound Assessment of Hepatobiliary and Splenic Changes in Patients With Dengue and Warning Signs During the Acute and Recovery Phases

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

Role of ultra sonography (chest and abdomen) in diagnosis and early prediction of severity of dengue fever

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