Electrolyte Disturbance with Severity of Dengue Infected Patient. A Study in Jhalawar Medical College & SRG Hospital, Jhalawar, Rajasthan

Abstract

Background: Dengue is considered to be the most rapidly spreading mosquito borne viral disease in the world. The dengue viruses are members of the genus Flavivirus and family Flaviviridae. Electrolyte imbalance is commonly encountered in this disease. There had been only a few worldwide research studies investigated on electrolyte disturbances with severity of dengue infection. Methods: Cross sectional prospective study was carried out in medicine department of Jhalawar Medical College & SRG Hospital, Jhalawar, Rajasthan. All cases of dengue confirmed by detection of either NS1Ag or IgM/IgG by ELISA method during study period will be included in study. This study was conducted to find relation between electrolyte disturbances in patients with dengue fever. Results: Out of 90 patients, majority i.e. 48 (53.3%) patients in total had mild hyponatremia, 37 (41.1%) had normal and 3 (3.33%) and 2(2.22%) patients had moderate, severe hyponatremia respectively. The prevalence of dengue patients with hyponatremia was 58.9 % in the present study. Out of 90,77 Dengue fever patients, 32(41.6%) had normal, 45(58.4%) had mild decrease in sodium level. Out of 90, 50 (55.6%) having normal potassium,32(35.6%) were mild decrease in level,4 cases(4.5%) were moderate and 1(1.1%) were severe and 3(3.3%) had Hyperkalaemia. Conclusion: This study provides an insight regarding Electrolyte Disturbance With Severity Of Dengue Infected Patient. Considering the variations in serum electrolyte levels in patients of dengue and high incidence of dengue in India, it is necessary to have a degree of suspicion in patients of dengue about electrolyte disturbances and treat them accordingly.