Gallbladder Wall Thickness to Predict Severe Dengue in Children

Introduction: Significant increase in plasma leakage is characteristic of severe dengue. This results collection fluid serous cavities. Gall bladder wall thickening (GBWT) often precedes the development pleural effusion and ascites. Early detection management shown to reduce mortality dengue illness. Ultrasonography a point care investigation identify GBWT. The aim this study was determine cut-off value GBWT predict early phase Methods: prospective done on 310 children with Abdomen chest ultrasound all these between third sixth day more than 3.5 mm taken as thickened gall wall. Maximum severity illness considered for categorising Results: Out children, 160 (51.6%) were categorized fever, 91 (29.4%) warning signs 59 (19%) incidence 27.5% DF (Dengue fever), 68% 96.6% odds finding are times that fever. increases increases. 5 has sensitivity 93.7% specificity 70% progress There fair correlation 46% thrombocytopenia. thickness 2.5 had 86.3% 80% 77.6% 85% effusion. Conclusions: assessment by ultrasonography can be used modality progression & respectively five