Ultrasound findings in dengue haemorrhagic fever

Pramuljo, Hariarti; Harun, S.

doi:10.1007/bf02015615

Cited by 44 publications

(49 citation statements)

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“…5 Our findings correlated with a similar study conducted by Santhosh et al with gall bladder wall thickening being the most frequent finding in both studies. Pleural effusion was seen in 29.5% of patients while it was seen in 60% of the patients in the study conducted by Santhosh et al 9 The study by Pramuljo and Harun SR states that pleural effusion can be found on the right and in bilateral pleural spaces but no isolated left pleural effusion, our study agrees with Pramuljo and Harun SR et al 14 Setiawan et al states that increased gall bladder thickening associated with increased severity of disease, our study agrees with Setiawan et al…”

Section: Discussionsupporting

confidence: 89%

Role of sonography in the assessment of dengue fever with serological correlation

Dasan²,

Patil

et al. 2015

Int J Res Med Sci

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Section: Discussionsupporting

confidence: 89%

Role of sonography in the assessment of dengue fever with serological correlation

Dasan²,

Patil

et al. 2015

Int J Res Med Sci

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“…9,10 In our study however we could not appreciate any significant change in the echotexture of the liver. None of these studies suggested GB wall thickening as the initial finding in DF (100%) as observed in our study, followed by pleural effusion.…”

contrasting

confidence: 69%

“…This is in accordance with the findings of the studies conducted by Pramuljo and Harun SR which states that pleural effusion can be found on the right and in bilateral pleural spaces but no isolated left pleural effusion. 9 Bhamarapravati et al also found edema of the serosa of the gallbladder and ascites in the peritoneal cavity in patients with DF. The main pathophysiologic change in DF is an increased vascular permeability, causing plasma leakage and serous effusion with a high protein content (mostly albumin).…”

mentioning

confidence: 93%

Early Detection of Dengue Fever in Clinicaly Suspected Patients-An Ultrasound Study

Shah¹,

Vignesh²

2017

IJABMS

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Background: Dengue is a mosquito-borne infection that in recent years has become a major international public health problem. Purpose:This study was conducted to assess the sonographic findings in patients with dengue fever. Methods: A total of 112 patients who were clinically suspected of dengue underwent abdominal sonography on admission at our emergency department . The diagnosis of dengue fever was subsequently confirmed by serology in 86 patients. The study was conducted from September 2016 to January 2017 using LOGIC P5 USG machine at LG hospital, Ahmedabad. Results:Out of the 86 patients seropositive for dengue ,the sonographic feature of thickened gall bladder wall was noted in a total of 53 patients (61%). Gall bladder wall thickening as the only finding was noted in 12 patients (14%). The maximum thickness noted was 6.3mm and the smallest thickness noted was 2.4mm. Average thickness of the gall bladder was 3.4 mm ± 1mm. Other ultrasound findings such ascites was noted in 21 patients (24%), splenomegaly in 11 patients (12.7%), and pleural effusion in 23 patients (26%); pleural effusion was either rightsided or bilateral. Pleural effusion as the only finding was noted in 12 patients. In 21 sero positive patients (24%) no significant ultrasound findings were seen. 26 patients were seronegative and showed no significant ultrasound findings. Conclusion: Abdominal sonography for gall bladder wall thickening can be used as a firstline imaging modality in patients with suspected dengue fever to detect early signs suggestive of the disease prior to obtaining serologic confirmation test results, especially in a dengue fever epidemic area. Sonographic examinations are useful as an additional diagnostic tool for the prediction of dengue fever. A thickened gallbladder wall is a useful sonographic finding that can help in the detection. Early detection of dengue has a significant role in reduction of morbidity and mortality with better prognosis.

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“…Reported sonographic findings associated with DHF in children [2][3][4] include ascites, pleural effusions, and thickening of the gallbladder wall. However, to our knowledge, sonographic findings have not been reported for DHF in adults.…”

mentioning

confidence: 99%

Sonographic findings in grade III dengue hemorrhagic fever in adults

Thulkar

Sharma

Srivastava

et al. 2000

J. Clin. Ultrasound

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Purpose Sonography has been used to evaluate children with dengue hemorrhagic fever, but to our knowledge no such studies have been conducted with adults. We present the sonographic findings in 40 adults with severe (grade III) dengue hemorrhagic fever (DHF). Methods Forty patients (30 men and 10 women, aged 16–65 years) given a presumptive diagnosis of grade III dengue hemorrhagic fever during a documented regional epidemic underwent abdominal sonography. Ten also underwent chest radiography. Serologic confirmation was obtained in 5 patients, and in the rest the diagnosis was based on epidemiologic and clinical findings. Results Sonographic findings included pleural effusion in 21 patients (53%), thickening of the gallbladder wall in 17 (43%), and mild ascites in 6 (15%). These findings were similar to those of previous studies of severe DHF in children, although the incidence of pleural effusion and ascites was slightly lower in our series. Neither pleural effusion nor ascites was apparent on clinical examination. Of the 10 patients who underwent both sonography and chest radiography, sonography detected pleural effusion in all 10, whereas radiography detected it in only 3. Conclusions Sonographic findings in DHF in adults (pleural effusions, ascites, and gallbladder wall thickening) were similar to those described for children but seem to be of lesser severity. Abdominal sonography is a useful diagnostic tool for confirming suspected cases of DHF. Sonography was found to be superior to chest radiography in detecting pleural effusions in the 10 patients in whom radiographs were available. © 2000 John Wiley & Sons, Inc. J Clin Ultrasound 28:34–37, 2000.

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Ultrasound findings in dengue haemorrhagic fever

Cited by 44 publications

References 1 publication

Role of sonography in the assessment of dengue fever with serological correlation

Role of sonography in the assessment of dengue fever with serological correlation

Early Detection of Dengue Fever in Clinicaly Suspected Patients-An Ultrasound Study

Sonographic findings in grade III dengue hemorrhagic fever in adults

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