Pune has reported more than 2,000 suspected cases of dengue in the last four months.
Doctors say that this year the incidence of complications in dengue related cases have increased as the burden of dengue is significantly high. Another factor which comes into play is late diagnosis due to late reporting and negligence of parents in giving timely treatment to their children.
Hospitals in Pune have been reporting cases of hemophagocytosis (presence of dengue virus in bone marrow), dengue encephalitis (which attacks brain), pulmonary edema (dengue affecting lungs), microcarditis (dengue affecting heart) and dysfunctional kidneys and liver because of dengue.
Dr Sagar Lad, a paediatrician at Jehangir Hospital, said, “In the last two months I have seen around three to six cases of dengue encephalitis in Pune. Recently, an 11-year-old boy died because of it. In his case, the pressure on his brain increased and he succumbed to dengue.”
“When it comes to treating dengue patients, it is all about giving them supportive treatment. But when dengue comes with complications, mortality increases. In the last two months I have seen more cases of dengue hemophagocytosis than I had seen in the past. It affects the child’s brain and then the child starts talking irreverently and loses consciousness. In some cases, the effects can remain for an even longer term,” he added.
Dr Madhu Otiv, a paediatrician at KEM hospital in Pune, said, “Recently, I have seen a number of cases where dengue has affected the heart and cases of hemophagocytosis. These are rare complications of dengue. With more dengue cases being reported, this year, the burden of complications has also increased.”
“Parents should look for warning signs, like cough, fever and vomiting. If the cases are reported early, there are fewer chances of them developing further complications,” she added.