Serum lipid profile in dengue patients: a simple laboratory tool to predict disease severity

Authors

  • M. Thejaswini
  • Chandrashekar Udyavara Kudru
  • Shivashankara Kaniyoor Nagiri
  • Arpita Chakraborty
  • Vasudeva Guddattu

DOI:

https://doi.org/10.51248/.v41i2.787

Keywords:

Dengue severity, vector-borne, arbovirus, lipoproteins, lipids

Abstract

Introduction and Aim: Serum lipids play a pivotal role in the immune response of the host during dengue. The aim of this study was to evaluate the serum lipid abnormalities in dengue patients and to study the relationship between serum lipids with disease severity and platelet count.

 

Materials and Methods: This case control study was carried out in 75 cases of dengue of age group > 18 years divided into three groups namely dengue without warning symptoms (DNWS), dengue with warning symptoms (DWWS) and severe dengue (SD) and 75 age and gender matched healthy controls. Lipid parameters such as total cholesterol, HDL cholesterol, LDL cholesterol and triglycerides were thereafter measured in all the subjects.

 

Results: Among 75 patients with dengue fever, 52 (69.4%) were classified as DNWS, 15 (20%) as DWWS and the remaining 8 (10.6%) as SD. Lower levels of serum total cholesterol (TC) levels (118.8 + 30.71) (p <0.0001) were observed among patients with DNWS when compared to controls. A strong significant positive correlation was seen between the platelets and serum HDL cholesterol levels among the subjects with SD (r = 0.712, p=.047*) and weak negative correlation was observed between the platelets and triglycerides in patients with dengue with warning signs (r = -0.275, p=.048*).

 

Conclusion: We observed a strong association of diminished TC, HDL and LDL cholesterol levels with the severity of dengue. Based on our findings, these three lipid parameters could be utilized as a simple laboratory tool to identify dengue severity in resource limited settings.

Author Biographies

M. Thejaswini

Department of General Medicine, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal-576104, Karnataka, India

Chandrashekar Udyavara Kudru

Department of General Medicine, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal-576104, Karnataka, India

Shivashankara Kaniyoor Nagiri

Department of General Medicine, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal-576104, Karnataka, India

Arpita Chakraborty

Department of General Medicine, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal-576104, Karnataka, India

Vasudeva Guddattu

Department of Data Science, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal-576104, Karnataka, India

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Published

2021-07-07

How to Cite

1.
Thejaswini M, Kudru CU, Nagiri SK, Chakraborty A, Guddattu V. Serum lipid profile in dengue patients: a simple laboratory tool to predict disease severity. Biomedicine [Internet]. 2021Jul.7 [cited 2021Jul.24];41(2):227-32. Available from: https://biomedicineonline.org/index.php/home/article/view/787

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Original Research Articles