Presentation of Pleural Effusion in Dengue Fever in Port Sudan Teaching Hospital

Abstract

Dengue fever is a flue like viral infection, caused by flavivirus, it has three different presentation , these are classic dengue fever , dengue haemorrhagic fever and dengue shock syndrome. Pleural effusion is not uncommon in dengue fever, it occur due to fluid over load , increased vascular permeability , and plasma leakage. In Port sudan, eastern Sudan the dengue fever occurred in significant numbers since 2002(MOH), and from 2005 cases are registered as epidemic(who), in this area dengue fever has two beaks one in January and the second in may to June, and this is related to environmental causes. To know the causes of pleural effusion in dengue fever a descriptive study done in 42 patients of dengue fever whose developed pleural effusion. The study showed serous pleural effusion in (92.9% ) of patients, and haemorrhagic in ( 7.1 % ), while pleural fluid analysis showed exudative effusion in (52.4 % ) of patients , and transudative in (47.6 % ). causes of pleural effusion was pneumonia (28.6%) , CCF (28.6%), hypoalbuminaemia (19%) , and pulmonary embolism (9.5%) , while in (14.3%) of patients the cause remain unknown