| pubmed-article:10492762 | rdf:type | pubmed:Citation | lld:pubmed |
| pubmed-article:10492762 | lifeskim:mentions | umls-concept:C0019100 | lld:lifeskim |
| pubmed-article:10492762 | lifeskim:mentions | umls-concept:C0008059 | lld:lifeskim |
| pubmed-article:10492762 | lifeskim:mentions | umls-concept:C0014499 | lld:lifeskim |
| pubmed-article:10492762 | pubmed:issue | 3 | lld:pubmed |
| pubmed-article:10492762 | pubmed:dateCreated | 1999-10-14 | lld:pubmed |
| pubmed-article:10492762 | pubmed:abstractText | An epidemic of dengue haemorrhagic fever (DHF) occurred in Delhi in 1996. A total of 240 children between the age of 4 months to 13 years of either sex, admitted in one hospital, were evaluated. Two hundred and sixteen (90%) children were from Delhi. A clinical diagnosis of dengue fever (DF) was made in 25 (10%), dengue fever with unusual bleeding (DFB) in 22 (9%), DHF in 80 (33%) and dengue shock syndrome (DSS) in 113 (47%) of the children strictly according to the WHO classification. The age peaked at 8 years. There was no association between various grades of severity of illness and age-groups though girls suffered from more severe illness. No association between severity of malnutrition and severity of illness was observed. Tourniquet test was positive in 40% with DF, 18% with DFB, 62% with DHF and 64% with DSS. In DSS haematemesis was present in 55 (49%), epistaxis in 39 (35%), melaena in 27 (24%) and ecchymosis in 34 (30%) patients. Children diagnosed as DFB had haematemesis and epistaxis in 12 (55%) and 10 (45%) respectively. Intravenous fluid requirement was clearly less in DFB patients than in DHF/DSS patients. Unusual clinical features in the form of jaundice were present in 7 (6%), hepatic encephalopathy in 6 (5%) and dengue encephalopathy in 6 (5%) patients. Dengue 2 virus was isolated from 10 of the 50 patients for whom viral culture was done on C6/36 clone of Aedes albopictus cell line. Eighteen patients suffering from DSS died giving an overall case fatality of 7.5%. The mortality rate in DHF/DSS was 9.3%. It is further suggested that DFB is a distinct entity. Most patients could be classified by the WHO classification if a retrospective packed cell volume was used to assess haemoconcentration. We suggest that development of area-specific criteria for diagnosis and management is desirable. | lld:pubmed |
| pubmed-article:10492762 | pubmed:language | eng | lld:pubmed |
| pubmed-article:10492762 | pubmed:journal | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:10492762 | pubmed:citationSubset | IM | lld:pubmed |
| pubmed-article:10492762 | pubmed:chemical | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:10492762 | pubmed:chemical | http://linkedlifedata.com/r... | lld:pubmed |
| pubmed-article:10492762 | pubmed:status | MEDLINE | lld:pubmed |
| pubmed-article:10492762 | pubmed:issn | 0035-9203 | lld:pubmed |
| pubmed-article:10492762 | pubmed:author | pubmed-author:SethPP | lld:pubmed |
| pubmed-article:10492762 | pubmed:author | pubmed-author:SethVV | lld:pubmed |
| pubmed-article:10492762 | pubmed:author | pubmed-author:BroorSS | lld:pubmed |
| pubmed-article:10492762 | pubmed:author | pubmed-author:TripathiPP | lld:pubmed |
| pubmed-article:10492762 | pubmed:author | pubmed-author:JahrDD | lld:pubmed |
| pubmed-article:10492762 | pubmed:author | pubmed-author:KabraS KSK | lld:pubmed |
| pubmed-article:10492762 | pubmed:author | pubmed-author:Madhulika | lld:pubmed |
| pubmed-article:10492762 | pubmed:author | pubmed-author:PandeyR MRM | lld:pubmed |
| pubmed-article:10492762 | pubmed:author | pubmed-author:SinghalTT | lld:pubmed |
| pubmed-article:10492762 | pubmed:issnType | Print | lld:pubmed |
| pubmed-article:10492762 | pubmed:volume | 93 | lld:pubmed |
| pubmed-article:10492762 | pubmed:owner | NLM | lld:pubmed |
| pubmed-article:10492762 | pubmed:authorsComplete | Y | lld:pubmed |
| pubmed-article:10492762 | pubmed:pagination | 294-8 | lld:pubmed |
| pubmed-article:10492762 | pubmed:dateRevised | 2004-11-17 | lld:pubmed |
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| pubmed-article:10492762 | pubmed:articleTitle | Dengue haemorrhagic fever in children in the 1996 Delhi epidemic. | lld:pubmed |
| pubmed-article:10492762 | pubmed:affiliation | Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India. skkabra@medinst.ernet.in | lld:pubmed |
| pubmed-article:10492762 | pubmed:publicationType | Journal Article | lld:pubmed |
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