Girl suspected to be suffering from dengue dies in Delhi |

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Editorial

Girl suspected to be suffering from dengue dies in Delhi

Dr KK Aggarwal, 15 November 2019
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#Multispeciality

Rise in hematocrit along with rapid fall in platelets is the danger sign in dengueA16-year-old girl suspected to be suffering from dengue died at a Delhi hospital. She was running fever for the last 8-10 days. She was a resident of a housing complex; more than 1500 families are residing in various towers of the housing complex. The National Buildings Construction Corporation (NBCC) is responsible for cleaning, sweeping, collecting garbage and carrying out anti-malar...

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Dr Shikha Gupta

excellent tips by expert

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03 December - 20:01hrs | View Replies()
Dr Rashmi Sharma

Useful and practical information

REPLY

19 November - 10:33hrs | View Replies()
Dr Sen -

Thanks for the update.

REPLY

16 November - 12:41hrs | View Replies()
Dr Majid Abdul

Recently I referred a case to medical college, from where he was taken to another medical college, is still under treatment. At the time of referring his platelet was 28000. At the medical college he was Dengue tests positive. He is still under treatment.

REPLY

16 November - 10:01hrs | View Replies()
Dr sivalingam mayilvahanan

SHOT GUN THERAPY LIKE STEROIDS AND INDISCRIMINATE PLATELET TRANSFUSION TO BE AVOIDED. TRANSFUSE ONLY IF THERE IS BLEEDING (W.H.O)

REPLY

16 November - 08:38hrs | View Replies()
Dr Bindu Bijlani

As soon as we get doubt clinically of dengue advise proper nutritious hydration upto 2 to 3 litres ( considering age of patient / no h/o HT/diabetes) and a b complex paracetamol to contr

REPLY

15 November - 22:31hrs | View Replies()
Dr Varinder Joshi

which antibiotic should be given ...and at what frequency platelet count should be checked

REPLY

15 November - 19:45hrs | View Replies()
Dr sandeep jambhale

Very useful information. Thank you sir.

REPLY

15 November - 15:37hrs | View Replies()
Dr Snehal Kothari

VERY GOOD

REPLY

15 November - 15:24hrs | View Replies()
Dr Devanand Rudach

Very useful clinical point, where fever subsides, and complications start, I have seen if patients given good supportive care like rehydration and avoidance of prophylactic antibiotics, even platelet are below 15000, patents recover well. Prophylactic antibiotics hamper Echosystem of body and dengue virus flares.

REPLY

15 November - 13:17hrs | View Replies()
Dr Sundeep Nigam

Sir should house survey be done for source reduction in every dengue positive case.ls this protocol feasible and beneficial when no of cases are high

REPLY

15 November - 11:23hrs | View Replies()
Dr Mahesh Agarwal

Dr K K Aggarwal doing very nice job .

REPLY

15 November - 11:11hrs | View Replies()
Dr Sailesh Basavarajan

Very good information. Certainly these measures will reduce mortality.

REPLY

15 November - 09:34hrs | View Replies()
Dr Vandana Pandit

Its informative and physician can take early step to reduce morbidity with high index of suspicion with blood investigation

REPLY

15 November - 08:20hrs | View Replies()
Dr Subodh Agarwal

Very useful information about Dengue

REPLY

15 November - 08:16hrs | View Replies()
Dr Purushottamnarayan Sinha

It is a good update. It will be very useful in practice.

REPLY

15 November - 07:51hrs | View Replies()
Dr Abdulla P

Very informative. Thnks alot you Sir

REPLY

15 November - 06:34hrs | View Replies()
Dr Sudhakara Ramarao

Bradycadia progressive indicate conduction defect and be fatal if untreated It is important to keep this in mind

REPLY

15 November - 06:25hrs | View Replies()
Dr Srikanth Upadhya

Thank you for the update Sir!

REPLY

15 November - 06:21hrs | View Replies()
Dr T Kalaiselvan

I have experienced the clinical symptoms in my Dengue cases

REPLY

15 November - 06:09hrs | View Replies()
Dr Dhanpal Manakapure

very much informative, Thanks A Lot Sir.

REPLY

14 November - 19:49hrs | View Replies()

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Editorial

Girl suspected to be suffering from dengue dies in Delhi

Dr KK Aggarwal, 15 November 2019
#Multispeciality

Rise in hematocrit along with rapid fall in platelets is the danger sign in dengue

A16-year-old girl suspected to be suffering from dengue died at a Delhi hospital. She was running fever for the last 8-10 days. She was a resident of a housing complex; more than 1500 families are residing in various towers of the housing complex. The National Buildings Construction Corporation (NBCC) is responsible for cleaning, sweeping, collecting garbage and carrying out anti-malarial and anti-larval activities at the complex.

Less than 1100 cases of dengue and no deaths due to the mosquito-borne disease have been reported so far this year in the city. Cases of malaria and Chikungunya have also decreased in Delhi. Of the total dengue cases, there were 787 in October, while in the same month 249 malaria cases were also recorded. 143 cases of Chikungunya have also been reported this year.

Last year, 2,798 dengue cases and four deaths were recorded by the SDMC. It had also reported 473 cases of malaria and 165 cases of Chikungunya.

In 2015, more than 15,000 dengue cases had been recorded and 60 people had died in the national capital.

Preventing death in dengue: Caveats

A dengue case may become serious when the fever is subsiding or has just subsided. This is the “critical phase”. This usually happens between 5-7 days of onset of illness. Severe dengue is a potentially fatal complication, due to plasma leaking, fluid accumulation, respiratory distress, severe bleeding, or organ impairment. Warning signs include: Severe abdominal pain, persistent vomiting, rapid breathing, bleeding gums, fatigue and restlessness.
The clinical marker is reduced pulse pressure, which is the difference between upper and lower blood pressure with acute fall in platelet count with simultaneous rapid rise in hematocrit value. Rise in hematocrit along with rapid fall in platelets is the danger sign and is indicative of impending severe dengue. More than the falling platelet count, it is the rapidity of fall in platelet count that is important.
If the difference between the upper and lower blood pressure is less than 20, rise in pulse by 20, rapid fall in platelets to less than 20, 000 and the hematocrit value is more than 50, suspect serious dengue, especially if the patient is experiencing acute weakness, start fluid replacement at 20 ml/kg/hour immediately before transferring him or her to the hospital

Dr KK Aggarwal

Padma Shri Awardee

President Confederation of Medical Associations in Asia and Oceania (CMAAO)

Group Editor-in-Chief IJCP Publications

President Heart Care Foundation of India

Past National President IMA

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