Case presentation on_dengue_fever[1]
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A 37-year-old female patient presented with fever, body pains, and vomiting for 3 days. Tests showed leukopenia, thrombocytopenia, and positive dengue antibodies. She was diagnosed with dengue fever and treated with medications including paracetamol, pantoprazole, carica papaya leaf, ondansetron, and cefpodoxime over 6 days. Her platelet count and hematocrit were monitored daily. Oral rehydration and dietary advice were also provided.
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Case presentation on_dengue_fever[1]
- 2. NAME : Narayanamma AGE: 37yrs GENDER: Female DOA: 07-9-19 DOD: 13-9-19
- 3. c/o fever since 3 days Associated with body pains Personal history : mixed diet
- 4. 9-9-19 10-9- 19 11-9-19 12-9-19 BP 110/70 120/70 110/70 110/70 PR 80b/m 82b/m 82b/m 86b/m TEMP 98.7 N N N
- 5. TEST ABNORMAL NORMAL 8-9-19 9-9-19 11-9-19 HB 12.9gm/dl 14.6 12.5 13-18gm/dl ESR 25mm/hr 0-5mm/hr NEUTROPHILS 39 39 32 40-70% LYMPHOCYTES 46 46 57 20-45% PLATELETS 36000 36000 31000 1.5- 4Laks/cum MICROBIOLOGY DENGUE ANTIBODIES=+VE HEMATOLOGY IMP: Normocytic-normochromic blood picture with leukopenia and thrombocytopenia
- 6. DENGUE FEVER
- 7. DEFINATION: Dengue (DENG-gey) fever is a mosquito-borne disease that occurs in tropical and subtropical areas of the world. Mild dengue fever causes a high fever, rash, and muscle and joint pain. A severe form of dengue fever, also called dengue hemorrhagic fever, can cause severe bleeding, a sudden drop in blood pressure (shock) and death. caused by a family of viruses transmitted by infected mosquitoes. SIGNS AND SYMPTOMS High fever and severe headache, joint pain, muscle and bone pain, rash, and mild bleeding.
- 8. dengue fever can damage the lungs, liver or heart. Blood pressure can drop to dangerous levels, causing shock and, in some cases, death
- 11. Acetaminophen (Tylenol, others) can alleviate pain and reduce fever. Avoid pain relievers that can increase bleeding complications — such as aspirin, ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve, others). severe dengue fever need: Supportive care in a hospital Intravenous (IV) fluid and electrolyte replacement Blood pressure monitoring Transfusion to replace blood loss
- 12. Wear long-sleeve shirts and long pants. Treat clothes with repellents like permethrin. Use mosquito repellent like DEET Consider using mosquito net Windows and doors screens are closed to avoid allowing mosquitoes Avoid areas with standing water.
- 13. A female patient was admitted in vishwa bharathi hospital with a chief complaints of: c/o fever & vomithing since 3 days Associated with body pains Personal history : mixed diet
- 14. TEST ABNORMAL NORMAL 8-9-19 9-9-19 11-9-19 HB 12.9gm/dl 14.6 12.5 13-18gm/dl ESR 25mm/hr 0-5mm/hr NEUTROPHILS 39 39 32 40-70% LYMPHOCYTES 46 46 57 20-45% PLATELETS 36000 36000 31000 1.5- 4Laks/cum MICROBIOLOGY DENGUE ANTIBODIES=+VE HEMATOLOGY IMP: Normocytic-normochromic blood picture with leukopenia and thrombocytopenia
- 15. DENGUE FEVER
- 16. S.N O DRUGS GENERIC NAME DOSE ROA FREQU ENCY 1st da y 2nd day 3rd da y 4th da y 5th da y 6th day 1 DOLO Paracetamol 650mg Oral TID 2 PANTOP Pantoprazole 40mg Oral OD 3 T.caripil Carica papaya leaf 1.1g m Oral TID 4 VOMISET Ondanserton 2ml Oral BD sos sos 5 t.capode m cefpodoxi me 200m g oral BD
- 17. T.B-complex –od T.patap-od 40mg T.dolo-sos 650mg
- 18. cefpodoxime+ pantoprazole=increase gastric pH may reduce the oral bioavailability of cefpodoxime. Management: Avoid Co administration with H2-receptors antagonists, proton pump inhibitors. An alternative antibiotic may be considered.
- 19. Patients with dengue fever should monitor platelet count and hematocrit value daily. Monitor patient temperature daily.
- 20. Oral rehydration therapy recommended for Patients with moderate dehydration caused by high fever and vomithing Avoid spicy and fatty food Include leafy vegetables in diet Keep your hands and surrounding clean