Journal of Infectious Diseases and Immunity
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Article Number - 654ED6852558

Vol.7(2), pp. 7-13 , May 2015
DOI: 10.5897/JIDI2014.0143
ISSN: 2141-2375

Full Length Research Paper

Thrombocytopenia and bleeding manifestations among patients with dengue virus infection in Port Sudan, Red Sea State of Sudan

Bashir, A.B.*
  • Bashir, A.B.*
  • 1Hematology Department, Medical laboratory Sciences Division, Port Sudan Ahlia College, Port Sudan, Sudan.
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Mohammed, B.A.
  • Mohammed, B.A.
  • Sudan Medical Specialization Board, Academic secretary, Khartoum, Sudan.
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Saeed, O.K.
  • Saeed, O.K.
  • Department of Medicine Faculty of Medicine, University of Gizera Wad Medani, Sudan.
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Ageep, A.K.
  • Ageep, A.K.
  • Department of Pathology, Faculty of Medicine, Red Sea University, Port Sudan, Sudan.
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 Received: 14 August 2014  Accepted: 30 March 2015  Published: 31 May 2015

Copyright © 2015 Author(s) retain the copyright of this article.
This article is published under the terms of the Creative Commons Attribution License 4.0

Dengue is a global endemic and most prevalent human arbovirus disease. This study aimed at evaluating thrombocytopenia and to find out platelet activation in dengue across the spectrum of the disease. A prospective study was conducted from February, 2013 to June, 2014 at Port Sudan Teaching Hospital, Red Sea State, Sudan. 334 cases of dengue caused by dengue virus along with 101 cases of control were enrolled. Laboratory-positive dengue cases were confirmed by immune chromatography and World Health Organization (WHO) criteria were used for classifying the dengue severity. Platelet counts (PLT) and platelet distribution width (PDW) were measured. Out of 334, 289 patients had dengue fever (DF) and 45 patients had dengue haemorrhagic fever (DHF). Thrombocytopenia was present in 234 (81%) DF cases and 45 (100%) DHF cases. Bleeding manifestation was seen in 35 (10.5%) patients. Haematuria (5.7%), haematamesis (0.3%), haemoptysis (0.3%), epistaxis (1.5%), and gum bleed (2.7%) are the common forms of bleeding. PLT and PDW were found to be significantly low and high in case of dengue (P < 0.000), respectively. Thrombocytopenia (low PLT) and high PDW shows considerable sensitivity for dengue virus infection.


Key words: Dengue, thrombocytopenia, bleeding manifestations, PDW, Port Sudan.

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APA Bashir, A. B.,* Mohammed, B. A., Saeed, O.K., & Ageep, A. K. (2015). Thrombocytopenia and bleeding manifestations among patients with dengue virus infection in Port Sudan, Red Sea State of Sudan. Journal of Infectious Diseases and Immunity, 7(2), 7-13.
Chicago Bashir, A.B., Mohammed, B.A., Saeed, O.K. and Ageep, A.K.. "Thrombocytopenia and bleeding manifestations among patients with dengue virus infection in Port Sudan, Red Sea State of Sudan." Journal of Infectious Diseases and Immunity 7, no. 2 (2015): 7-13.
MLA Bashir, et al. "Thrombocytopenia and bleeding manifestations among patients with dengue virus infection in Port Sudan, Red Sea State of Sudan." Journal of Infectious Diseases and Immunity 7.2 (2015): 7-13.
DOI 10.5897/JIDI2014.0143

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