Abstract

Dengue viral infections are one of the most important mosquito borne diseases in the world. They may be asymptomatic or may give rise to undifferentiated fever, dengue fever (DF), dengue haemorrhagic fever (DHF), or dengue shock syndrome (DSS). Early recognition and prompt initiation of appropriate treatment are vital if disease related morbidity and mortality are to be limited. Abdominal pain is one of the common symptoms of DF and severe pain abdomen is strongly associated with DHF. About 500 000 people with severe dengue fever require hospitalization each year out of which about 2.5% die. Aim and Objective: 1.To study prevalence of various causes of acute abdominal pain in dengue illness patients. 2. To study the age wise association of acute abdominal pain with dengue illness.3. Study the Patho-Physiology of dengue fever. Methods: Hospital based Cross sectional analytical study. Study setting: Paediatrics ward of Government medical college and hospital Sindhudurg Study duration: 20/10/22 to 19/10/23 Study population: The study population included all the dengue fever cases with acute abdominal pain admitted at a Paediatrics ward of Government medical college and hospital Sindhudurg Sample size: 100 Results: majority of cases presented with ascites 36 (36%) followed by pleural effusion 20 (20%), hepatitis 17 (17%), Mesenteric lymphadenopathy 5 (5%), Pancreatitis 4 (4%),Calculous cholecyctitis 3 (3%) and appendicitis 1 (1%). majority of cases presented with fever 100 (100%), followed by vomiting 43 (43%), skin rash 29 (29%), headache 21 (21%), myalgia 18 (18%), arthralgia 4 (4%) and bleeding tendency 3 (3%). majority of cases found in 7-9 years age group 38 (38%). most of the cases were found in males 54%, proportion of acute abdomen with dengue illness was statistical significant in age group 7 and above (p < 0.05), Most of cases clinical outcome was Discharged 92%. Conclusions: Most common cause of abdominal pain in dengue fever was ascites, Most common clinical features found in dengue cases was fever, followed by vomiting and skin rash. Most of cases were found in 7-9 years age group. Highest Proportion of Stage of Dengue Infection was dengue fever

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