Abstract

Philippines is among the top southeast Asian country that is endemic to Dengue Fever based on DOH reported cases - from a reported 152,224 in 2017 to an increase in 216,190 in 2018. Most studies in the country are derived from the pediatric and/or young adult population hence, there is a dearth of data describing our elderly patient with dengue. This is a retrospective observational study of elderly individuals diagnosed with Dengue Fever admitted at St. Luke's Medical Center, E. Rodriguez, Quezon City from January 1, 2013 to December 31, 2018. A total of 142 elderly were recorded; 65% are females.

Highlights

  • Dengue is found in tropical and subtropical regions, predominantly in urban and semi-urban areas

  • Aside from fever, the elderly patients presented most frequently with arthralgia and/or myalgia at 38.46% followed by cough (35.66%), generalized body malaise (32.17%), decreased appetite (31.47%), headache (25.8%), loose bowel movement (15.38%), petechial rash (13.97%), chills (13.99%), and colds (11.19%)

  • The number of the patients in this paper who had a record of their Aspartate Aminotransferase (AST) levels is very limited, we only reported the Alanine Aminotransferase (ALT) levels which showed an average of 104.06 U/L

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Summary

Introduction

Dengue is found in tropical and subtropical regions, predominantly in urban and semi-urban areas. The disease is caused by a virus belonging to family Flaviviradae that is spread by Aedes (Stegomyia) mosquitoes [1]. Since the first confirmed epidemic of DHF recorded in the Philippines in the 1950s, dengue fever has become a major health concern in the country. Incidence of Dengue Fever has increased 30-fold over the last 5 decades, is endemic in more than 100 countries including the Philippines, and causes an estimated 50 million infections annually [2]. The Department of Health (DOH) reported almost more than 110,000 cases of dengue yearly since 2013; 152,224 in the year 2017 and 216,190 in 2018 [3]. Dengue infection is a systemic and dynamic disease

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