PUNE: Doctors have seen a significant rise in dengue cases, especially among children below one year of age, who are more likely to go into shock and require aggressive treatment as the “leakage phase” occurs earlier.
The emergence of dengue infection has caused concern because some patients have developed critical conditions, including myocarditis (heart involvement), hypotension (low blood pressure), dengue encephalopathy, and even hepatitis A leading to dengue-related jaundice.
Dr Sagar Lad, senior pediatric intensivist at Jehangir and Sahyadri Hospitals in Pune, told TOI: “Dengue is a mosquito-borne viral infection that usually affects people of all ages, but there has been a recent surge in cases among young children and adolescents. concern. However, the most important aspect of the emergence of dengue fever is the development of dengue encephalopathy in patients.”
Dengue encephalopathy is a rare but serious complication in which the virus affects the central nervous system, causing symptoms such as drowsiness, drowsiness and even seizures. “If treated early, we can improve outcomes. We have also seen dengue co-infected with hepatitis A, leading to dengue-related jaundice. This co-infection adds complexity to the treatment process because both conditions are managed at the same time.” Testing is done at the same time Can be challenging. Sometimes, on the first day of fever, a dengue test may produce a negative result and may need to be repeated. These changes may be related to post-COVID effects and changes in virus virulence,” Dr. Lad said.
Dr Mahesh Kumar Manohar Lakhe, Infectious Disease Specialist at Sayadri Hospital, said, “In dengue infections, we observe mild to moderate hepatitis. In adults, there has been an increase in cases involving central nervous system complications in this condition Relatively rare. Some patients have been diagnosed with dengue encephalitis this year, but it is important to note that the condition is not usually fatal.”
Dengue encephalitis is a broader term for the neurological complications associated with dengue virus infection, including mental status changes, headache, disturbance of consciousness, and seizures. “Dengue encephalitis specifically refers to inflammation of the brain caused by the dengue virus. When encephalitis is suspected, mixed chikungunya and rickettsial infections also need to be ruled out,” Dr. Lage said.
Dr Ravindra Khetre, pediatrician at Om Clinic, Wadgaonsheri, said: “Some children with dengue experience central nervous system involvement and show symptoms such as lethargy or drowsiness in the first few days of the illness, which lasts for more than 24 to 48 hours. Among them most babies”
Dr Amit Dravid, infectious diseases specialist at Noble Hospital, said: “Isolated cases of dengue complications related to the central nervous system and liver complications and various other problems in children are often encountered. However, while dengue admission rates remain high, ICU admission rates are relatively low. The government has recently mandated reporting of all dengue cases, which also includes reporting of dengue-related complications. Reporting of dengue cases may have improved, thereby increasing To gain awareness of the complications associated with…living with this disease.”
The emergence of dengue infection has caused concern because some patients have developed critical conditions, including myocarditis (heart involvement), hypotension (low blood pressure), dengue encephalopathy, and even hepatitis A leading to dengue-related jaundice.
Dr Sagar Lad, senior pediatric intensivist at Jehangir and Sahyadri Hospitals in Pune, told TOI: “Dengue is a mosquito-borne viral infection that usually affects people of all ages, but there has been a recent surge in cases among young children and adolescents. concern. However, the most important aspect of the emergence of dengue fever is the development of dengue encephalopathy in patients.”
Dengue encephalopathy is a rare but serious complication in which the virus affects the central nervous system, causing symptoms such as drowsiness, drowsiness and even seizures. “If treated early, we can improve outcomes. We have also seen dengue co-infected with hepatitis A, leading to dengue-related jaundice. This co-infection adds complexity to the treatment process because both conditions are managed at the same time.” Testing is done at the same time Can be challenging. Sometimes, on the first day of fever, a dengue test may produce a negative result and may need to be repeated. These changes may be related to post-COVID effects and changes in virus virulence,” Dr. Lad said.
Dr Mahesh Kumar Manohar Lakhe, Infectious Disease Specialist at Sayadri Hospital, said, “In dengue infections, we observe mild to moderate hepatitis. In adults, there has been an increase in cases involving central nervous system complications in this condition Relatively rare. Some patients have been diagnosed with dengue encephalitis this year, but it is important to note that the condition is not usually fatal.”
expansion
Dr Ravindra Khetre, pediatrician at Om Clinic, Wadgaonsheri, said: “Some children with dengue experience central nervous system involvement and show symptoms such as lethargy or drowsiness in the first few days of the illness, which lasts for more than 24 to 48 hours. Among them most babies”
Dr Amit Dravid, infectious diseases specialist at Noble Hospital, said: “Isolated cases of dengue complications related to the central nervous system and liver complications and various other problems in children are often encountered. However, while dengue admission rates remain high, ICU admission rates are relatively low. The government has recently mandated reporting of all dengue cases, which also includes reporting of dengue-related complications. Reporting of dengue cases may have improved, thereby increasing To gain awareness of the complications associated with…living with this disease.”