Characteristics of dengue shock syndrome during 2014 dengue epidemic in Rawalpindi, Pakistan

Muhammad Khurram; Wajeeha Qayyum; Muhammad Faheem; Muhammad Umar; Hamama Tul Bushra; Matti Ullah Khan; Nimra Khan

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Original Research
Online Published: 17 May 2016

RMJ. 2016; 41(2): 142-147

Characteristics of dengue shock syndrome during 2014 dengue epidemic in Rawalpindi, Pakistan

Muhammad Khurram, Wajeeha Qayyum, Muhammad Faheem, Muhammad Umar, Hamama Tul Bushra, Matti Ullah Khan, Nimra Khan.

Abstract
Objective: To study the characteristics of dengue shock syndrome (DSS) patients managed during Rawalpindi dengue epidemic 2014.
Methodology: This observational study was conducted at Dengue Ward of Holy Family Hospital, Rawalpindi, Pakistan during epidemic. Patients fulfilling Dengue Expert Advisory Group (DEAG) criteria for DSS were included. Data regarding patient characteristics, clinical features, diagnostic basis, laboratory parameters, treatment, and outcome were noted.
Result: Out of 25 patients, 52% were male. Mean patient age was 26.8±11.52 years. Mean duration of pre hospitalization illness was 5.4±1.5 days. Vomiting, aches, and headache were frequently noted symptoms. Mean day of illness at which DSS developed was 5.7±2.04 days. 24% had additional illnesses. 56% had secondary infection. 84% were PCR positive for DEN3. At admission, mean TLC, platelets, and hematocrit were 3.68x103microL, 60.5x103 microL and 39.61%, respectively. 96% had ultrasonographic leak. Alanine transferase was deranged in 59% and Aspartate transferase in 86.66% . Mean amount of intravenous fluids administered was 5011.33 ±1754.24 ml. 60%, and 28% received Dextran and blood transfusion, respectively. One patient expired. Mean duration of hospital stay was 5.08±1.28 days.
Conclusion: Young adults who had DEN-3 infection suffered from DSS this dengue epidemic. Primary infection was frequently noted in these patients. Mortality in these patients was 4%.

Key words: Dengue, dengue shock syndrome, dengue hemorrhagic fever

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Pubmed Style

Khurram M, Qayyum W, Faheem M, Umar M, Bushra HT, Khan MU, Khan N. Characteristics of dengue shock syndrome during 2014 dengue epidemic in Rawalpindi, Pakistan. RMJ. 2016; 41(2): 142-147.

Web Style

Khurram M, Qayyum W, Faheem M, Umar M, Bushra HT, Khan MU, Khan N. Characteristics of dengue shock syndrome during 2014 dengue epidemic in Rawalpindi, Pakistan. https://www.rmj.org.pk/?mno=209835 [Access: June 26, 2026].

AMA (American Medical Association) Style

Khurram M, Qayyum W, Faheem M, Umar M, Bushra HT, Khan MU, Khan N. Characteristics of dengue shock syndrome during 2014 dengue epidemic in Rawalpindi, Pakistan. RMJ. 2016; 41(2): 142-147.

Vancouver/ICMJE Style

Khurram M, Qayyum W, Faheem M, Umar M, Bushra HT, Khan MU, Khan N. Characteristics of dengue shock syndrome during 2014 dengue epidemic in Rawalpindi, Pakistan. RMJ. (2016), [cited June 26, 2026]; 41(2): 142-147.

Harvard Style

Khurram, M., Qayyum, . W., Faheem, . M., Umar, . M., Bushra, . H. T., Khan, . M. U. & Khan, . N. (2016) Characteristics of dengue shock syndrome during 2014 dengue epidemic in Rawalpindi, Pakistan. RMJ, 41 (2), 142-147.

Turabian Style

Khurram, Muhammad, Wajeeha Qayyum, Muhammad Faheem, Muhammad Umar, Hamama Tul Bushra, Matti Ullah Khan, and Nimra Khan. 2016. Characteristics of dengue shock syndrome during 2014 dengue epidemic in Rawalpindi, Pakistan. Rawal Medical Journal, 41 (2), 142-147.

Chicago Style

Khurram, Muhammad, Wajeeha Qayyum, Muhammad Faheem, Muhammad Umar, Hamama Tul Bushra, Matti Ullah Khan, and Nimra Khan. "Characteristics of dengue shock syndrome during 2014 dengue epidemic in Rawalpindi, Pakistan." Rawal Medical Journal 41 (2016), 142-147.

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