Abstract
Background: Dengue has a wide spectrum of clinical presentations, often with unpredictable clinical evolution and outcome. While most patients recover following a self-limiting nonsevere clinical course, small proportion progress to severe disease. Early recognition of dengue is challenging because the initial symptoms are often non-specific.
 Methods: The hospital based study was conducted on patients presenting to paediatric hospital, who fulfilled inclusion and exclusion criteria.
 Results: According to complications, in dengue positive cases, bleeding was the most common complication seen in 51.00% cases while shock, myocarditis, and convulsion were present in 34.00%, 3.00% and 1.00% of cases respectively. Among the dengue negative cases, 63.00% had no complication while shock and bleeding were present in 23.00% and 14.00% cases respectively.
 Conclusion: It concluded that shock was most common complication.
 Keywords: Complication, Fever, Dengue Like Illness
Highlights
Dengue is the most important arthropod-borne viral infection of humans
According to complications, in dengue positive cases, bleeding was the most common complication seen in 51.00% cases while shock, myocarditis, and convulsion were present in 34.00%, 3.00% and 1.00% of cases respectively
It concluded that shock was most common complication
Summary
Dengue is the most important arthropod-borne viral infection of humans. Each year there are about 50 million dengue infections and about 500,000 individuals are hospitalized with DHF, mainly in Southeast Asia. For severe disease (severe dengue according to the new classification or DHF/DSS according to the older classification) the case fatality rate can be as high 15% but can be decreased to 1% by early diagnosis and prompt treatment[4]. Year-wise analysis revealed that the proportion of DHF cases was about 20% in 2005, 2006 and 2008; the proportion dropped to 6.8% in 2007, 2009 and 2010.This fall probably reflected improved diagnosis and better reporting of non-hospitalized dengue cases. It is very important to be able to predict which patients are more likely to land up in complications. Such early prediction of adverse outcome and early detection of danger signs can help in reducing mortality and morbidity. Since there is a paucity of literature on this, and there exist many gaps in the current understanding of such predictive factors, this study is being planned to assess history, examination,and investigation based predictive factors for complications of dengue-like illnesses
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