Year: 2023 | Month: October | Volume: 13 | Issue: 10 | Pages: 316-321
DOI: https://doi.org/10.52403/ijhsr.20231043
Characteristic Presentation of Dengue and Salmonella Typhi Infections in Suburban Remote and Endemic Zones Surrounding Higher Medical Centre - An Outline of Prognostication
Dr. Afshan. S1, Dr. Mohamed Adil. A2, Dr. K. Sudhakar3, Dr. Ajai Ramcharan Kattoju4
1Department of General Medicine, Madha Medical College Hospital & Research Institute, Kacheepuram
2Department of General Medicine, Life First Multi-Speciality Clinic, Chennai
3Department of Radiology, Apollo Main Hospital, Chennai
4Department of Apollo Research Innovations, Apollo Main Hospital, Chennai
Corresponding Author: Dr. Afshan. S
ABSTRACT
Background: In our study, we observed a high prevalence of infectious fevers, specifically dengue and typhoid fevers. The study was conducted in rural patients, as the specialty institute is located near the catchment area. Dengue virus is primarily transmitted by the Aedes mosquito, resulting in thrombocytopenia and hemorrhagic shock. Salmonella, on the other hand, causes enteric infections along with high-grade fever and various complications. It is important to note that morbidity and mortality rates are significantly elevated in these aforementioned conditions.
Aims & Objectives: Obtaining conclusive clinical laboratory diagnoses for Salmonella and Dengue infections is crucial in high-prevalence areas to improve treatment outcomes and reduce overall incidence.
Materials & Methods:
- Study Area: Madha Medical College Hospital & Research Institute, Kancheepuram.
- Type of Study: Retrospective data observational analysis
- Study Period: March 2018 to March 2019
Result: Our study provides valuable insights on fevers. Males represent 64.3% of the population, while females make up 35.7%. In terms of age groups, 0–14-year-olds make up 61.9%, 15–29-year-olds are 16.7%, 30–44-year-olds are 9.5%-, and 45–59-year-olds are 11.9%. Dengue fever is observed in 76.2% of cases, while Typhoid is observed in 23.8%. All cases involve fever and various accompanying symptoms, each with different percentages. Dengue investigations are done in 76.2% of patients, while S typhi is present in 23.8%. Patient management includes 20% receiving day care and 80% requiring admissions.
Discussion: Clinical and lab investigations are used to evaluate the disease's clinical status. Dengue treatment includes symptom management, supportive care, and intensive care as needed. Precautions are taken to prevent multi-organ failure. Enteric fever is treated with targeted antibiotics to control transmission.
Conclusion: Early diagnosis and treatment, along with prompt implementation of measures to limit spread, offer multiple advantages, as stated in this study.
Key words: Dengue, Salmonella Typhi Infections. Suburban Remote, Endemic Zones.