Dengue death: Patient was alcoholic, underwent only symptomatic treatment initially

According to data gathered from the hospital and the civic health department, he developed fever on September 3 and visited a local MBBS doctor the next day.

Written by Tabassum Barnagarwala | Mumbai | Published:September 17, 2015 12:55 am

The latest case of dengue death, where a canteen worker died within a week of showing symptoms, shows the need to properly tackle the disease within the first three days of being diagnosed. With a rising number of dengue cases in the city owing to temperature rise, two people have already succumbed to the vector-borne infection.

Chandrakant Nibde (45) died due to dengue fever on September 13, after undergoing treatment for five days at the civic-run Kasturba hospital. Before that he was undergoing symptomatic treatment under a private practitioner.

Nibde was residing at Kewal Industrial Estate’s canteen where he also worked as an employee during the day.

According to data gathered from the hospital and the civic health department, he developed fever on September 3 and visited a local MBBS doctor the next day.

“The doctor tested him for malaria which came negative. He was treated symptomatically until the platelet count dropped low, following which a test was conducted for dengue,” a civic official from G South ward said.

Nibde lost four days until proper diagnosis was made. On September 7, the private doctor referred him to Kasturba hospital. According to the doctors treating him, he was a chronic alcoholic and also suffered from kidney ailment which further worsened his condition. On September 13, he passed away due to acute kidney injury along with hepatitis in a case of dengue fever.

Following Nibde’s death, the Brihamumbai Municipal Corporation (BMC) conducted a survey in 250 households around his home at Senapati Bapat Road, Lower Parel, and found one breeding site of Aedes Agypti, the carrier of dengue infection, which could have possible led to the contraction of infection. “The site has now been cleared,” a BMC official said.

Doctors across the city claim a steady rise in dengue is visible since September first week. The cases rose from 23 in August last week to 34 in September first week to finally 52 in the second week of September.

“There are several cases of dengue but with existing symptoms, it seems patients can be managed at home,” said Dr Om Srivastava, infection specialist who is currently treating over 10 dengue patients.

According to him, dengue turns fatal if the patient suffers from capillary leak, chances of which are higher in alcoholic patients. “It is assumed that platelet admission will help treat the disease. Instead hydration should be given to improve the condition,” Srivastava said.

According to Dr Nandu Vijay, general physician at Bhatia hospital, the hospital is seeing three to four dengue admissions every day. Health experts claim that the disease becomes severe whenever there is a delay in treatment or diagnosis.

tabassum.barnagarwala@expressindia.com

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