Volume 14, Number 3—March 2008
Letter
Dengue Virus, Nepal
Basu Dev Pandey*
, Kouichi Morita†, Santa Raj Khanal‡, Tomohiko Takasaki§, Isao Miyazaki¶, Tetsuro Ogawa¶, Shingo Inoue†, and Ichiro Kurane¶
, Kouichi Morita†, Santa Raj Khanal‡, Tomohiko Takasaki§, Isao Miyazaki¶, Tetsuro Ogawa¶, Shingo Inoue†, and Ichiro Kurane¶Table
| Patient age, y/Sex | Month admitted | Location | Initial diagnosis | Travel history | Clinical signs and symptoms | Selected laboratory and other test results |
|---|---|---|---|---|---|---|
| 20/M | Sep | Kathmandu | DF | Yes | Fever, headache, nausea | Hb 15.4 g/dL; TLC 10,500/mm3; Plt 185,000/mm3; blood culture for salmonellae negative; ALT 38 IU/L |
| 27/F | Sep | Bardiya | Viral fever | No | Fever, headache, vomiting | TLC 5,600/mm3; blood culture for salmonellae negative |
| 3/M | Sep | Salayan | Encephalitis | No | Fever, vomiting, convulsions | Widal negative; TLC 4,700/mm3 |
| 13/M | Oct | Sindhuli | Typhoid fever | No | Fever, headache | Widal negative; TLC 4,500/mm3; blood culture for salmonellae negative; Brucella antigen negative; chest radiograph normal |
| 22/M | Oct | Birgunj | DHF | No | Fever, headache, vomiting, ascites | Bil 0.8 mg/dL; ALT 80 IU/L; Plt 22,000/mm3; chest radiograph normal |
| 55/F | Oct | Dang | DF | No | Fever, headache, muscular pain | Plt 51,000/mm3; TLC 7,600/mm3; MP negative; ESR 20 mm/h; Bil 0.7 mg/dL |
| 22/F | Oct | Birgunj | Viral fever | No | Fever, headache, body ache | Brucella negative; Widal negative; TLC 5,600/mm3 |
| 13/M | Nov | Dang | DF | No | Fever, headache, rashes | Plt 95,000/mm3; TLC 4,700/mm3; Hb 13.1 g%; Bil 0.8mg/dL; ALT 26 IU/L |
| 35/F | Nov | Birgunj | DHF | No | Fever, headache, bruises; tourniquet: positive | Bil 0.81mg/dL; Plt 31,000/mm3; PT 2 min 30 s (control 14) |
| 40/M | Nov | Birgunj | DF | No | Fever, headache, rashes | ALT 127IU/L; Plt 110,000 /mm3; PCV 38.8%;TLC 5,500/mm3; ultrasonography liver size, 16.8 cm |
| 42/M | Nov | Dang | DF | No | Fever, headache, rashes | Bil 0.7 mg/dL; Widal test negative; TLC 6,800/mm3; Plt 164,000/mm3 |
*Blood specimens were collected at time of hospital admission. Diagnosis was confirmed by using immunoglobulin M–capture ELISA. DF, dengue fever; Hb, hemoglobulin;TLC, total leukocyte count; Plt, platelets; ALT, alanine aminotransferase; DHF, dengue hemorrhagic fever Bil, bilirubin; MP, malaria parasites; ESR, erythrocyte sedimentation rate; PT, prothrombin time; PCV, packed cell volume.
