Dengue Serotype Prevalence and Laboratory Profile Correlation in a Tertiary Care Hospital in Gandhinagar

Authors

  • Bindu J Jadeja GMERS Medical College, Gandhinagar, Gujarat
  • Neeta Khokhar GMERS Medical College, Gandhinagar, Gujarat
  • Parul Patel GMERS Medical College, Gandhinagar, Gujarat
  • Neha Makwana GMERS Medical College, Gandhinagar, Gujarat
  • Gaurishanker Shrimali GMERS Medical College, Gandhinagar, Gujarat

DOI:

https://doi.org/10.55489/njmr.13012023928

Keywords:

Dengue serotyping, Geographical distribution, Thrombocytopenia, Multiplex RTPCR

Abstract

Background: Dengue fever and dengue haemorrhagic fever currently rank highly among the newly emerging infectious diseases and are the most important arboviral disease worldwide. Dengue virus can be distinguished by both serological and molecular methods. This study was aimed at analysing the prevalence and laboratory dynamics of the four dengue serotypes in tertiary care patients attending GMERS Medical College Gandhinagar.

Material & methods: This study was an observational retrospective study. A total 105 samples were tested for Dengue serotyping by RT-PCR.

Results: Among positive patients Dengue virus serotype-2 was the most common serotype 94 (89%) followed by DENV3 7(6%) and DENV4 2(2%). Co-infection with DENV 2/4 was 2(2%). A higher prevalence of dengue haemorrhagic fever was noted in serotype 2 compared to serotypes 3, 4, and coinfection. Thrombocytopenia was present in all serotypes of infection. There was a significant difference in the disturbance of liver function in DENV2, as compared to others serotype. Dengue serotype 2 was very common in rural areas, while dengue serotype 3 was seen in the urban Gandhinagar zone.

Discussion: Dengue is the most extensively spread mosquito-borne disease.As per previous studies most common prevalent and severity of serotype wasDENV2,however in our study we were able to identify DENV3, DENV4 and confection with serotypes (DENV2 & DENV4).

References

Guzman A, Istúriz RE. Update on the global spread of dengue. International journal of antimicrobial agents. 2010 Nov 1;36:S40-2. Doi: https://doi.org/10.1016/j.ijantimicag.2010.06.018 PMid:20833000

Mehta, K.D., Gelotar, P.S., Vachhani, S.C., Makwana, N. and Sinha, M., 2014. Profile of dengue infection in Jamnagar city and district, west India. WHO South-East Asia Journal of Pub-lic Health, 3(1), pp.72-74. Doi: https://doi.org/10.4103/2224-3151.206888 PMid:28607258

Health Organization. Dengue and Dengue Haemorrhagic Fever. Fact sheet 117, 2009 [cited 28 November 2011] Available from: www.who.int/mediacentre/factsheets/fs117/en/ [Google Scholar]

Patricia M. Tille. Bailey & Scott's Diagnostic Microbiology: fifteenth edition;2022;page925-926

Moulay Mustapha Ennaji et al.DengueVirus:emerging and reemerging viral pathogens.2020:1 https://www.sciencedirect.com/science/article/pii/B9780128194003000405

Apurba S Sastry, Sandhya Bhat et al.;Essentials of Medical Microbiology;viralhemorragicfever;Third edition,2021;page338-341

Guzman MG, Alvarez M, Halstead SB. Secondary infection as a risk factor for dengue hemorrhagic fever/dengue shock syn-drome: an historical perspective and role of antibody-dependent enhancement of infection. Archives of virology. 2013 Jul;158(7):1445-59. Doi: https://doi.org/10.1007/s00705-013-1645-3 PMid:23471635

Li R, Mock R, Huang Q, Abad JO, Hartung J, Kinard G. A reliable and inexpensive method of nucleic acid extraction for the PCR-based detection of diverse plant pathogens. Journal of Virological Methods. 2008 Dec 1;154(1-2):48-55. Doi: https://doi.org/10.1016/j.jviromet.2008.09.008 PMid:18848583

Naik, N.S., Murarka, S.V., Sanghrajka, D., Shah, B.S., Raval, R.J. and Rao, M.V., 2021. Dengue infection profile in Gujarat, West India: A recent report. Journal of Applied Biology and Bio-technology, 9(5), pp.9-0. https://jabonline.in/admin/php/uploads/599_pdf.pdf

Afreen N, Deeba F, Naqvi I, Shareef M, Ahmed A, Broor S, Parveen S: Molecular investigation of 2013 dengue fever out-break from Delhi, India. PLoSCurr. 2014. Doi: https://doi.org/10.1371/currents.outbreaks.0411252a8b82aa933f6540abb54a855f PMid:25642359 PMCid:PMC4169351

Mishra G, Jain A, Prakash O, et al.: Molecular characterization of dengue viruses circulating during 2009- 2012 in Uttar Pra-desh, India. J Med Virol. 2015, 87:68-75. 10.1002/jmv.23981. Doi: https://doi.org/10.1002/jmv.23981 PMid:24889214

Shastri J, Williamson M, Vaidya N, Agrawal S, Shrivastav O: Nine year trends of dengue virus infection in Mumbai, West-ern India. J Lab Physicians. 2017, 9:296-302. Doi: https://doi.org/10.4103/JLP.JLP_169_16 PMid:28966494 PMCid:PMC5607761

Racherla RG, Pamireddy ML, Mohan A, Mudhigeti N, Maha-lakshmi PA, Nallapireddy U, Kalawat U: Cocirculation of four dengue serotypes at South Eastern Andhra Pradesh, India: a prospective study. Indian J Med Microbiol. 2018, 36:236-40. Doi: https://doi.org/10.4103/ijmm.IJMM_18_109 PMid:30084417

The difference in gender may be due to social and cultural biasing with male predominance. Male partners are more ex-posed to various environmental factors in tropical and sub-tropical areas and are more prone to getting infection. https://jabonline.in/admin/php/uploads/599_pdf.pdf

Shah PS, Shah ND, Patel AS, Kartadikar SM, Dixit HD, Patel KR, et al. Dengue and viral circulation in infected cases of Ahmedabad: a single centre study. Ethno Med, 2017;11(4):297-301. Doi: https://doi.org/10.1080/09735070.2017.1356046

Padhi S, Dash M, Panda P, Parida B, Mohanty I, Sahu S, Nara-simham MV. A three year retrospective study on the increasing trend in seroprevalence of dengue infection from southern Odisha, India. The Indian journal of medical research. 2014 Nov;140(5):660. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4311321/

Wardhani P, Aryati A, Yohan B, et al.: Clinical and virological characteristics of dengue in Surabaya, Indonesia. PLoS One. 2017, 12:e0178443. 10.1371/journal.pone.0178443 10. Eu-Ahsunthornwattana N, Eu-ahsunthornwattana J, Thisyakorn U: Peripheral blood count for dengue severity prediction: a pro-spective study in Thai children. Pediatrics. 2008, 121: S127-8. 10.1542/peds.2007. Doi: https://doi.org/10.1542/peds.2007-2022KKKK

Chaloemwong J, Tantiworawit A, Rattanathammethee T, Han-trakool S, Chai-Adisaksopha C, Rattarittamrong E, Norasettha-da L: Useful clinical features and hematological parameters for the diagnosis of dengue infection in patients with acute febrile illness: a retrospective study. BMC Hematol. 2018, 18:20. 10.1186/s12878-018-0116-1. Doi: https://doi.org/10.1186/s12878-018-0116-1 PMid:30181881 PMCid:PMC6114047

Ferede G, Tiruneh M, Abate E, et al.: A study of clinical, hematological, and biochemical profiles of patients with dengue viral infections in Northwest Ethiopia: implications for patient management. BMC Infect Dis. 2018, 18:616. 10.1186/s12879-018-3557-z. Doi: https://doi.org/10.1186/s12879-018-3557-z PMid:30514223 PMCid:PMC6278031

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Published

2022-12-31

How to Cite

Jadeja, B. J., Khokhar, N., Patel, P., Makwana, N., & Shrimali, G. (2022). Dengue Serotype Prevalence and Laboratory Profile Correlation in a Tertiary Care Hospital in Gandhinagar. National Journal of Medical Research, 12(04), 92–96. https://doi.org/10.55489/njmr.13012023928

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Original Research Articles