Different clinical manifestations of Dengue fever

Background : Dengue fever is a widespread mosquito borne infection transmitted by Aedesa egypti arthropod. Aim of study to assess gastrointestinal, cochleovestibular, and respiratory symptoms in patients with Dengue fever and to analyze the variables that affect it. Methods: This was across-sectional survey study with 100 patient's dengue fever. All patients were assessed for different clinical presentations of dengue fever. All investigations were repeated for all patients after one and three months. Results: The mean age was 37.97±16.1 years. There was clinical improvement apart from watery diarrhea with significant statistics after three months during follow up (P value 0.003). Four (4%) patients presented with hearing loss and tinnitus after the onset of fever. Two of them (2%) had bilateral mild sensorineural hearing loss, two (2%) had unilateral sudden profound sensorineural hearing loss. Four patients (4%) complaining of tinnitus only, PTA revealed mild to moderate high frequency sensorineural hearing loss during examination. On one and three months follow up, most of those patients show no improvement. As regards respiratory manifestations, twenty-eight (28%) patients were presented with respiratory symptoms. The most common symptom was dyspnea seen in 26 (26%) patients, cough in 22 (22%) patients, and Hemoptysis in 1 (1%) patient. Conclusions: Patients with serologic confirmed dengue infection may present typical GI manifestations such as nausea, diarrhea, and abdominal pain. While A typical GI manifestations were splenomegaly, and ascites. Also, concomitant cochleovestibular and respiratory symptoms that were manifested for the first time. Their outcome was heterogonous.