Syed Anjum Mehdi, Amir Hayat Mahais, Hassan Bhukhari, Shama Aslam.
Gray scale Trans-Abdomino-Thoracic Ultrasonography in Evaluation of Dengue Hemorrhagic Fever.
Annals Punjab Med Coll Jan ;6(1):32-6.

Objective: To evaluate ultrasound findings in Dengue Haemorrhagic Fever (DHF) and further to predict severity of DHF. Study design: Cross sectional study. Settings: Allied Hospital Faisalabad. Duration of study: 1st July 2011 to 30th November 2011. Sample size: 50 Patient. Material and Methods: Ultrasound was performed on 50 patients of ages between 6-59 years with clinical suspicion of DHF. Serological tests IgM and IgG on ELIZA were performed to confirm the diagnosis, ultrasound was done on 2nd to 08th day all confirmed serologically 50 positive of DHF. These 50 patient divided into two groups as DHF (Group-I) mild type 45 patients and severe type of DHF (Group-II) 05 Patient. Result: Group-I patients ultrasound revealed gall bladder wall thickening 86.6%, Pericholecystic fluid 44.4%,  hepatomegaly 26.6%, 17.7%, right pleural effusion 8.8%, left pleural     effusion nil and pancreatic enlargement 6.6%. In Group-II ultrasonography revealed gall bladder wall thickening 100%,Pericholecystic fluid 60.0%,  hepatomegaly 60.0%, splenomegaly 40.0%, ascites 60.0%, right pleural effusion 60.0%, left pleural effusion 20.0%, pericardial effusion 20.0%, pancreatic enlargement 40.0% and 60.0% patient with fulminant hepatic failure. Conclusion: Trans-abdomino-thoracic sonography can be used as adjunct modality in patients with suspected DHF to detect early signs suggestive of the disease prior to obtaining serologic confirmation test results, especially in a dengue fever epidemic area and also useful tool to predict severity of the disease.

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