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Published in: Indian Journal of Pediatrics 10/2016

01-10-2016 | Correspondence

Clinical Profile of Atypical Manifestations of Dengue Fever: Author’s Reply

Author: Sriram Pothapregada

Published in: Indian Journal of Pediatrics | Issue 10/2016

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Excerpt

To the Editor : We thank Beuy Job and Viroj Wiwanitkit for highlighting clinically valid important points related to our study on atypical manifestations of dengue fever in children, an issue of great public health importance [1]. In our experience, we have seen a changing pattern of clinical presentation during recent epidemics with increase in atypical manifestations of dengue fever. Even though thrombocytopenia is the hallmark laboratory finding in dengue fever, but in our experience thrombocytopenia, bleeding manifestations and plasma leakage did not always correlate clinically [2]. Fever has been the predominant presentation in children admitted and screened for dengue fever in our study and in this context afebrile dengue is an interesting presentation as reported by the authors [3]. We agree with authors regarding the role of co-infections as the one of the probable factors for atypical manifestations in dengue illness. The awareness regarding atypical/unusual manifestations of dengue fever is grossly lacking among the clinicians. Since the case fatality rate in children with severe dengue infection is very high, there is a need to update the health care personnel and community at various forums, about the various atypical manifestations of dengue fever, its prompt recognition and early management in children. …
Literature
2.
go back to reference World Health Organization. Dengue hemorrhagic fever: diagnosis, treatment, prevention and control. 2nd ed. Geneva: World Health Organization; 2011. World Health Organization. Dengue hemorrhagic fever: diagnosis, treatment, prevention and control. 2nd ed. Geneva: World Health Organization; 2011.
3.
go back to reference Wiwanitkit S, Wiwanitkit V. Afebrile dengue: an easily forgotten manifestation. Ann Trop Med Public Health. 2013;6:686.CrossRef Wiwanitkit S, Wiwanitkit V. Afebrile dengue: an easily forgotten manifestation. Ann Trop Med Public Health. 2013;6:686.CrossRef
Metadata
Title
Clinical Profile of Atypical Manifestations of Dengue Fever: Author’s Reply
Author
Sriram Pothapregada
Publication date
01-10-2016
Publisher
Springer India
Published in
Indian Journal of Pediatrics / Issue 10/2016
Print ISSN: 0019-5456
Electronic ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-016-2075-5

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