DETERIMINING THE RELAVANCE OF GALL BLADDER WALL PATTERNS AND VOLUME BY ULTRASONOGRAPHY V/S CLINICAL SEVERITY DENGUE SCORE IN DENGUE PATIENTS

Dr. Laxminarayan; Ashwini Kurtakoti; Dr.Shivakumar N Hadli

doi:10.51168/f8a2xa65

Authors

Dr. Laxminarayan Senior Resident, Department of Radiology, St. John's Medical College and Hospital, Bangalore
Ashwini Kurtakoti Senior Resident, Department of Paediatrics, Karawar Institute of Medical Sciences, Karwar.
Dr.Shivakumar N Hadli Assistant Professor, Department of General Surgery, Karawar Institute of Medical Sciences, Karwar

DOI:

https://doi.org/10.51168/f8a2xa65

Keywords:

Gall bladder, wall patterns, ultrasonography, severity dengue score

Abstract

Introduction: Dengue syndrome is a self limiting disease caused be dengue virus, belongs to flaviviridae family ,arboviruses group transmitted by vector aedes aegypti, contributing to the global burden of disease 390 million infections per year with 70% actual burden in asia.

Objectives :To study the various presentation of the gall bladder wall thickness patterns at the time of presentation.

Materials and Methods: This Hospital-based prospective study comprised of a total of 20 patients referred to the department of Radio-diagnosis al ameen medical college bijapur for abdominal ultrasonographic evaluation were included in this study.

Results: The present study consisted of 20 patients who were proven ns 1 positive at the time of admission. The patterns of gall bladder wall thickness is as followed: striated pattern (7/20,35%), tramtracking , honeycombing each (3/ 20,15%), asymmetrical (2/20 ,10%),echogenic layer (1/20,5% ) and 4 (20%) normal studies Conclusions: in every case of the dengue thickness of the gall bladder wall appears to be the prominent finding and typically striated/onion peel pattern predominates among the different patterns, hence ultrasonography can be a useful tool to assess the severity of dengue and for early prediction of the etiology in the suspected , false negative cases / in epidemics.

References

1. GOI INITIATIVES FOR DENGUE AND CHIKUNGUNYA [Internet]. www.nvbdcp.gov.in/. 2019 [cited 28 July 2019]. Available from: https://nvbdcp.gov.in/index4.php?lang=1&level=0&linkid=444&lid=3726

2. Westaway EG, Brinton MA, Gaidamovich S, Horzinek MC, Igarashi A, Kaariainen L, et al. Flaviviridae. Intervirology. 1985;24:183-92. https:// www.nvbdcp.gov.in/. (2019). DENGUE/DHF SITUATION IN INDIA. [online] Available at:https://nvbdcp.gov.in/index4.php?lang=1&level=0&linkid=431&lid=3715 https://doi.org/10.1159/000149642

3. Tavares MdA, João GAP, Bastos MS, Gimaque JBL, Almeida ACG, Ngo TT, et al. (2019) Clinical relevance of gallbladder wall thickening for dengue severity: A cross-sectional study. PLoS ONE 14(8):e0218939. https://doi.org/10.1371/journal.pone.0218939

4. Suwarto et al. Dengue score as a diagnostic predictor for pleural effusion and/or ascites: external validation and clinical application. BMC Infectious Diseases (2018) 18:90 https://doi.org/10.1186/s12879-018-2996-x

5. Oliveira, G.A., Machado, R.C., Horvat, J.V. et al. Transient reticular gallbladder wall thickening in severe dengue fever: a reliable sign of plasma leakage. Pediatr Radiol 40, 720-724 (2010). https://doi.org/10.1007/s00247-0091489-x https://doi.org/10.1007/s00247-009-1489-x

6. Rahman M, Rahman K, Siddique AK et al.First outbreak of dengue haemorrhagic fever, Bangladesh. Emerg Infect Dis 2002; 8(7):738-40. https://doi.org/10.3201/eid0807.010398

7. Bhamarapravti N. Pathology of dengue haemorrhagic fever. In: Thongcharoen P (ed) Denge/dengue haemorrhagic fever. WHO, Geneva 1993; pp.72-3.

8. Sai PMV, Dev B, Krishnan R. Role of ultrasound in dengue fever. British Journal of Radiology 2005, 78:416-418. https://doi.org/10.1259/bjr/54704044

9. Brady OJ, Gething PW, Bhatt S, Messina JP, Brownstein JS, Hoen AG et al. Refining the global spatial limits of dengue virus transmission by evidence-based consensus. PLoS Negl Trop Dis. 2012;6:e1760. https://doi.org/10.1371/journal.pntd.0001760

10. Nisalak A, Endy TP, Nimmanitya S, et al. Serotype-specific dengue virus circulation and dengue disease in Bangkok, Thailand from 1973 to 1999. Am J Trop Med Hyg 2003;68:191-20. https://doi.org/10.4269/ajtmh.2003.68.191

11. October M. Sessions, Nicholas J. Barrows, Jayme A. Souza-Neto, Timothy J. Robinson, Christine L. Hershey, Mary A. Rodgers, et al. Discovery of insect and human dengue virus host factors. Nature April 2009; 458: 1047-1050. https://doi.org/10.1038/nature07967

12. Kurane, Takasaki T, Yamada K. Trends in flavivirus infections in Japan. Emerg Infect Dis 2000; 6: 569-571. https://doi.org/10.3201/eid0606.000603