RESUMO
To study the clinical spectrum of Dengue Hemorrhagic Fever [DHF] and Dengue Shock Syndrome [DSS] in children admitted in a tertiary care center during 2011 dengue epidemic in Lahore. This study was conducted in department of Pediatrics Lahore General Hospital [LGH] / Postgraduate Medical Institute [PGMI] Lahore, Pakistan. Retrospective descriptive study. 1st August to 31st October 2011. All the children [<18 years] with clinical features of Dengue Hemorrhagic Fever and Dengue shock Syndrome [DHF/DSS] admitted to the Pediatric ward Lahore General Hospital, Lahore during the period of 1st August to 31st October 2011 were enrolled in the study. The clinical manifestation were recorded on a standard questionnaire form. Clinically DHF/DSS cases were confirmed in the laboratory by different investigations. All the patient were diagnosed, managed and discharged according to WHO protocol. A total of 254 patients were admitted in the ward labeled as dengue fever [DF] clinically. Out of these 142[55.9%] were confirmed by serology. Of 254 DF cases 37[14.57%] were labeled as DHF and 02[0.79%] as DSS on their clinical manifestations and fulfilling the WHO criteria. 55% were male and 45%females. Common symptoms were fever seen in 100%, headache 71.79% and vomiting seen in 58.97% of the cases. The most common bleeding manifestations were epistaxis seen in 69.23% of the cases. Positive IgM was noted in 53.9% and IgG in 36.6% cases. A decrease in platelet count and increase in Heamatocrit [Hct] during stay in ward was noted. Out of 39 patients only one patient expired [2.56%]