ABSTRACT
Objective: To evaluate ultrasound findings inDengue Haemorrhagic Fever [DHF] and further topredict severity of DHF
Study design: Crosssectional study
Settings: Allied HospitalFaisalabad
Duration of study: 1st July 2011 to 30thNovember 2011
Sample size: 50 Patient
Materialand Methods: Ultrasound was performed on 50patients of ages between 6-59 years with clinicalsuspicion of DHF. Serological tests IgM and IgG onELIZA were performed to confirm the diagnosis,ultrasound was done on 2nd to 08th day all confirmedserologically 50 positive of DHF. These 50 patientdivided into two groups as DHF [Group-I] mild type45 patients and severe type of DHF [Group-II] 05Patient
Result: Group-I patients ultrasoundrevealed gall bladder wall thickening 86.6%,Pericholecystic fluid 44.4%, hepatomegaly 26.6%,splenomegaly 22.2%, ascites17.7%, right pleural effusion 8.8%, left pleuraleffusion nil and pancreatic enlargement 6.6%. InGroup-II ultrasonography revealed gall bladder wallthickening 100%,Pericholecystic fluid 60.0%,hepatomegaly 60.0%, splenomegaly 40.0%, ascites60.0%, right pleural effusion 60.0%, left pleuraleffusion 20.0%, pericardial effusion 20.0%,pancreatic enlargement 40.0% and 60.0% patientwith fulminant hepatic failure
Conclusion: Transabdomino-thoracic sonography can be used asadjunct modality in patients with suspected DHF todetect early signs suggestive of the disease prior toobtaining serologic confirmation test results,especially in a dengue fever epidemic area and alsouseful tool to predict severity of the disease