Cough, low-grade fever? Viral or dengue: Doctors’ dilemma – ET HealthWorld

KOLKATA: Recognizing symptoms of dengue, earlier than it turns extreme has turned out to be a problem for docs through the ongoing outbreak. Early indicators have usually been deceptive this time, with platelet drop setting in quicker and gentle however persistent fever resulting in a sudden haemorrhage in dengue sufferers, say docs. Additionally they identified that scores of dengue sufferers had an accompanying respiratory sickness, which was uncommon.

The modified signs have led hospitals and docs to be cautious whereas screening and treating dengue sufferers.

Studies of these looking for admission after testing constructive for dengue have been being scanned diligently, stated Peerless Hospital CEO Sudipta Mitra. “We have now observed a fast platelet drop in a set of sufferers nevertheless it has been tough to determine them. So, we’re giving precedence to these with fever for five-six days or a sliding platelet rely. Even these indicators haven’t all the time been proper indicators of a extreme illness,” added Mitra.
Desun Hospital has been “coaching docs and nurses on the administration of dengue fever and the significance of fluid administration”. “We have now come throughout dengue sufferers with respiratory tract signs. This was by no means observed in earlier years,” stated director Shaoli Dutta. The hospital has put up boards on the beds of sufferers with a platelet drop that learn: “No intramuscular injections and no use of toothbrush, no shaving”. “This has been completed to forestall bleeding signs in low platelet rely sufferers in dengue fever. The affected person, too, is counselled,” added Dutta.

A number of hospitals have seen a pointy rise in dengue admissions over two days. At AMRI, the variety of dengue sufferers has reached 103 in its three items, together with 11 in ICU. Eighteen have been admitted within the final 24 hours. At Peerless, 54 have been admitted on Monday.
It is secure to get a blood check completed on the second day of fever, stated Fortis inside medication marketing consultant Joydeep Ghosh.

These with a low-grade fever have been testing constructive for dengue, which, was uncommon, stated AMRI infectious illnesses doctor Sayan Chakrabarty. “These with persisting excessive fever and early platelet drop are turning out to be extreme.”

Fever could possibly be extended on account of hyper-immune response whereas fluid accumulation would possibly result in abdomen ache, stated R N Tagore Worldwide Institute of Cardiac Sciences intensivist Sauren Panja. ” They’re additionally vulnerable to secondary bacterial an infection. Many have had fluid accumulation that makes it crucial to cut back fluid consumption,” he stated.

Environment friendly fluid administration was wanted to handle capillary leak, which could possibly be attributable to higher respiratory tract an infection, stated IPGMER affiliate professor of infectious illnesses Yogiraj Ray.

  • Printed On Sep 19, 2023 at 08:54 AM IST

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