This document presents a case study of a 42-year-old male patient admitted to the hospital with dengue fever. The patient reported intermittent fever for one week along with abdominal pain, headache, nausea, vomiting and red eyes with blood stained sputum. On examination, the patient had a fever of 102°F along with decreased hematocrit and elevated liver enzymes. Based on the symptoms and test results, the patient was diagnosed with dengue fever, which was confirmed by a positive IgM test. The patient was treated with IV fluids, antipyretics and supportive care. He was discharged with medications and advised to take steps to prevent mosquito bites in order to avoid reinfection.

1. CASE PRESENTATION
Dengue Fever
by
Nagaraju B
dr.bnr2011@gmail.com

2. Patient Name
IP/OP No
DOA
DOD
Department
Unit
Age
Sex
-XXXX
-14436/13
- 26/12/13
- 31/12/2013
- Med
- IV
- 42years
- Male

3. SUBJECTIVE
Chief complaint/ History of Presenting illness:
c/o intermittent fever since 1 week
c/o abdominal pain, headache since 5 days
c/o nausea and vomiting since 2 days
c/o redness of eyes & blood stained sputum since morning
Previous history:
Patient was treated with Tab. Augmentin 625 bd & Tab.
Sinarest tds for last 4 days at local hospital, Ramanagaram
Past MedicationHistory/Allergy:
Nothing significant

4. Personal history:
Diet- Mixed
Appetite- Decreased
Sleep- Decreased
Bowel – Regular
Bladder- Normal
Habits- None
Family history:
no f/h/o DM, HTN, ASTHAMA, TB
OBJECTIVE
Physical examination :
Vital signs:
BP - 122/80mmHg
RR – 20cpm
PR – 88bpm
Temp – 102 F.

5. P[-], I[-], C[-], C[-], L[-], E[-]
Systems:P/A
RS
CVS
CNS
NAD
Provisional diagnosis :
 ? VF

6. Test
Test Value
26/12 27/12
28/12
29/12
Normal Value
30/12
31/12
Urine Routine
Sug/Alb/BS/BP-NAD; Microscopy-2-3 pc
Body Temp
102.0
101.2
100.1
99.5
98.6
98.2
37 °C (98.6 °F)
Hematocrit
32.9
25.9
23.3
25.3
25.7
23.7
42% to 54%/100ml
Total WBC
6900
2600
2400
2700
3100
4300
4000-11000cells/cmm
DC: N
66
47
25
30
33
60
40-75%
L
24
46
66
61
57
34
20-45%
Atypical L
0
0
1
2
0
0
0%
E
2
1
2
3
7
3
1-6%
M
4
2
2
2
0
2
2-10%
B
4
4
4
2
3
1
0-1%
Platelets
1.77
0.85
0.97
1.15
1.23
1.37
1.5-4.0 lakh/cmm
PS for MP
NEGATIVE
AST
45
42
26
8-40 iu/L
ALT
85
72
46
8-40 iu/L
Dv IgM
+ve
_ve

7. ASSESMENT
Based on the subjective & objective evidence the
patient was diagnosed to have Dengue Fever.

8. TREATMENT CHART
BRAND NAME
GENEROIC
NAME
DOSE
FREQU
ENCY
DATE
DATE END
Domperi-10DT
Domperidone
10mg
1bd
26/12
30/12
Inf.5%D
Dextrose5%
1pint
4hrly
26/12
30/12
Inf.DNS
Dextrose Normal
Saline
2pints
3hrly
26/12
30/12
Inf. RL
Ringer’s Lactate
2pints
3hrly
26/12
29/12
Inj. Febrinil
Paracetamol
150mg
1sos
26/12
29/12
MEDICINE ON DISCHARGE
(DAMA)
Tab Supradyn
Multivit&Min
1od
Tab Dolo650
Paracetamol
1sos

9. PLAN
Suggestion to PhysicianNo drug interaction is found.

10. Advice to patient The main cause for the Dengue fever is Dengue virus
spreaded by Mosquito. So Insecticides should be used
to avoid mosquitos.
 Eliminate stagnant water that serve as mosquito
breeding sites at home, workplaces and their vicinity.
 Using mosquito nets at home and patients need to be
kept under mosquito netting until the second bout of
fever is over and they are no longer contagious.
 Cover overhead tank to prevent access to mosquitoes.
 Dispose of garbage on a regular basis.
 Store trash in rodent-proof containers, and clean the
containers often.
 Avoid unnecessary till fully recovers.
 Diet: low fat, low fibre, non-irritated, non-carbonated.
Noodle soup may be given.

11. THANK YOU…