Sunday, 22 June 2025

Morbidity in Dengue Patient with History of COVID-19 Infection: A Study from Tertiary Care Hospital in North India | Chapter 12 | Disease and Health Research: New Insights Vol. 4

Background: The coronavirus disease (COVID-19) posed one of the deadliest pandemics since the outbreak of the Spanish flu. The already COVID-19 pandemic burdened nations, during epidemics have to cope up with dengue fever too. The continuous circulation of both viruses presented a significant problem for the healthcare system, which struggles with patient triage and prognosis. It’s suggested that dengue antibodies cross react with SARS-CoV-2. The coincident incidence of COVID-19 and dengue makes timely patient diagnosis, treatment and disease prevention difficult. However, it’s unknown whether patients with previous COVID 19 infection can develop immunity dengue virus.

 

Aim: To study the hematological parameters in patients with active dengue infection and its correlation with past history of COVID 19 infection. Secondary aim: To investigate the effect of previous COVID-19 infection on various hematological parameters in patients with active dengue infection. To investigate previous Covid-19 infection. Effect of 19 infections on morbidity in patients with active dengue infection, evaluation of days of hospital stay, platelet transfusions, etc.

 

Methods: A total of 189 patients were included in our study. The mean age was comparable between the two groups. Group A patients had a higher mean platelet count [0.68200.00 ± 0.28153.33 x106/cumm] than Group B patients [0.54181.21 ± 0.31792.06 x106/cumm]. Group A had substantially shorter hospital stays, averaging 0.380.83 days versus 3.213.24 days for Group B. In addition, Group A received a substantial reduction in platelet transfusions. Results. Patients with a previous history of COVID 19 infection had significantly lower circulating lymphocyte and monocyte counts, with lymphocytopenia previously described in patients coinfected with SARS CoV-2. However, patients with no history of previous covid-19 infection had substantially lower levels of monocytes and lymphocytes compared to those without a history.

 

Conclusion: Our research indicates that patients with a prior history of COVID-19 infection have reduced dengue mortality. Patients with previous COVID-19 infections had higher platelet counts, shorter hospital stays, and fewer platelet transfusions than patients with no history of COVID 19 infection.

 

Author (s) Details

 

Deval Brajesh Dubey
Department of Pathology, BRD Medical College, Gorakhpur, India.

 

Swati Agnihotri
Department of Pathology, BRD Medical College, Gorakhpur, India.

 

Shilpa Ulhas Vahikar
Department of Pathology, BRD Medical College, Gorakhpur, India.

 

Shaila Kumari Mitra
Department of Pathology, BRD Medical College, Gorakhpur, India.

 

Kanchan Srivastava
Department of Pathology, BRD Medical College, Gorakhpur, India.

 

Amresh Kumar Singh
Department of Microbiology, BRD Medical College, Gorakhpur, India.

 

Ravikant Verma
Department of Pathology, BRD Medical College, Gorakhpur, India.

 

 

Please see the book here:- https://doi.org/10.9734/bpi/dhrni/v4/2012

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