- ABSTRACT
- INTRODUCTION
- MATERIALS AND METHODS
- RESULTS
- Characteristics of included studies.
- Dengue identification, confirmation, and classification.
- Ultrasound equipment and timing of examination.
- Ultrasound examination and findings.
- Thoracic ultrasound findings.
- Abdominal ultrasound findings.
- Cardiac ultrasound findings.
- Other ultrasound findings.
- Gold standard comparisons and outcome measurements.
- DISCUSSION
- Supplemental Appendix
- ACKNOWLEDGMENTS
- REFERENCES
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Brady OJ , Gething PW , Bhatt S , Messina JP , Brownstein JS , Hoen AG , Moyes CL , Farlow AW , Scott TW , Hay SI , 2012. Refining the global spatial limits of dengue virus transmission by evidence-based consensus. PLoS Negl Trop Dis 6: e1760.
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2.
Bhatt S et al. 2013. The global distribution and burden of dengue. Nature 496: 504–507.
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World Health Organization , 2020. Dengue and severe Dengue. Geneva, Switzerland: WHO. Available at: https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue. Accessed October 22, 2020.
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Simmons CP , Farrar JJ , Nguyen van VC , Wills B , 2012. Dengue. N Engl J Med 366: 1423–1432.
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Froudarakis ME , 2008. Diagnostic work-up of pleural effusions. Respir Int Rev Thorac Dis 75: 4–13.
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7.
de Oliveira RVB , Rios LTM , dos Remédios Freitas Carvalho Branco M , Lopes Braga Júnior L , Nascimento JMS , Silva GF , Bandeira KP , 2010. Valor da ultrassonografia em crianças com suspeita de febre hemorrágica do dengue: revisão da literatura. Radiol Bras 43: 401–407.
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Rudralingam V , Footitt C , Layton B , 2017. Ascites matters. Ultrasound Leeds Engl 25: 69–79.
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9.
Low GKK , Looi SY , Yong MH , Sharma D , 2018. Predictive and diagnostic test accuracy of ultrasonography in differentiating severe dengue from nonsevere dengue. J Vector Borne Dis 55: 79–88.
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10.
Ibrahim F , Thio THG , Faisal T , Neuman M , 2015. The application of biomedical engineering techniques to the diagnosis and management of tropical diseases: a review. Sensors 15: 6947–6995.
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11.
Dewan N , Messu C , Eelkema M , Osorio L , Bakker C , Kirsch J , 2019. A Scoping Review of the Use of Ultrasound in Dengue: Protocol for a Scoping Review. Available at: https://osf.io/v7jqw/. Accessed February 7, 2019.
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Ultrasound in Dengue: A Scoping Review
Neelesh Dewan
Neelesh Dewan
University of Miami Miller School of Medicine, Miami, Florida;
Epidemiology and Population Health Research Group (GESP), School of Public Health, Universidad del Valle, Cali, Colombia;
University of Minnesota Medical School, Minneapolis, Minnesota;
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Epidemiology and Population Health Research Group (GESP), School of Public Health, Universidad del Valle, Cali, Colombia;
University of Minnesota Medical School, Minneapolis, Minnesota;
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Daniela Zuluaga
Daniela Zuluaga
Epidemiology and Population Health Research Group (GESP), School of Public Health, Universidad del Valle, Cali, Colombia;
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Lyda Osorio
Lyda Osorio
Epidemiology and Population Health Research Group (GESP), School of Public Health, Universidad del Valle, Cali, Colombia;
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Mary-Ellen Krienke
Mary-Ellen Krienke
University of Minnesota Medical School, Minneapolis, Minnesota;
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Caitlin Bakker
Caitlin Bakker
University of Minnesota, Health Sciences Libraries, Minneapolis, Minnesota;
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Jonathan Kirsch
Jonathan Kirsch
Section of Hospital Medicine, Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis, Minnesota
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ABSTRACT
To improve dengue triage and treatment decisions, the WHO recommends classifying the disease as dengue with or without warning signs or severe dengue. Vascular leakage is a key component of the pathophysiology of severe dengue and is detectable by ultrasound. The objective of this scoping review is to describe the primary literature on the use of ultrasound in dengue, summarize the findings, and identify knowledge gaps. Our database search retrieved 1,489 records which were reduced to 177 studies following eligibility screening. Descriptive analyses were conducted. Results showed most studies are from South Asia (n = 92, 52%) and assessed hospitalized dengue patients (130, 82%). Radiologists were the most reported ultrasonographers (14, 8%), and conventional ultrasound (39, 68%) was preferred over portable (9, 16%). The most common ultrasound findings in dengue were ascites (107, 60%), pleural effusion (102, 58%), and gallbladder wall thickening (97, 55%). However, the lack of a standard protocol to perform the ultrasound examination in dengue patients hinders conclusions about the frequency of ultrasound findings in dengue. Given the progress of current ultrasound technology, a focused point-of-care ultrasound protocol for early detection of vascular leakage in dengue is needed to generate the evidence required for its implementation in routine care.
- Supplemental Materials (PDF 4.15 KB)
Author Notes
Financial support: This work was supported by the following sources: the Doris Duke Charitable Foundation through a grant supporting the Doris Duke International Clinical Research Fellow Program at the University of Minnesota (N. D.); the University of Minnesota’s Center for Global Health and Social Responsibility and the Fulbright U.S. Scholar Program (J. K.); and Universidad del Valle, Cali, Colombia (L. O., D. Z.).
Authors’ addresses: Neelesh Dewan, University of Miami Miller School of Medicine, Miami, FL, E-mail: neeleshdewan92@gmail.com. Daniela Zuluaga and Lyda Osorio, Epidemiology and Population Health Research Group (GESP), School of Public Health, Universidad del Valle, Cali, Colombia, E-mails: dzuluaga1104@gmail.com and lyda.osorio@correounivalle.edu.co. Mary-Ellen Krienke, University of Minnesota Medical School, Minneapolis, MN, E-mail: krien021@umn.edu. Caitlin Bakker, Health Sciences Libraries, University of Minnesota, Minneapolis, MN, E-mail: cjbakker@umn.edu. Jonathan Kirsch, Division of General Internal Medicine, University of Minnesota Medical School, Minneapolis, MN, E-mail: kirsch@umn.edu.
These authors contributed equally to this work.
- ABSTRACT
- INTRODUCTION
- MATERIALS AND METHODS
- RESULTS
- Characteristics of included studies.
- Dengue identification, confirmation, and classification.
- Ultrasound equipment and timing of examination.
- Ultrasound examination and findings.
- Thoracic ultrasound findings.
- Abdominal ultrasound findings.
- Cardiac ultrasound findings.
- Other ultrasound findings.
- Gold standard comparisons and outcome measurements.
- DISCUSSION
- Supplemental Appendix
- ACKNOWLEDGMENTS
- REFERENCES
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Brady OJ , Gething PW , Bhatt S , Messina JP , Brownstein JS , Hoen AG , Moyes CL , Farlow AW , Scott TW , Hay SI , 2012. Refining the global spatial limits of dengue virus transmission by evidence-based consensus. PLoS Negl Trop Dis 6: e1760.
-
2.
Bhatt S et al. 2013. The global distribution and burden of dengue. Nature 496: 504–507.
-
3.
World Health Organization , 2020. Dengue and severe Dengue. Geneva, Switzerland: WHO. Available at: https://www.who.int/news-room/fact-sheets/detail/dengue-and-severe-dengue. Accessed October 22, 2020.
-
4.
World Health Organization , 2009. Dengue: Guidelines for Diagnosis, Treatment, Prevention and Control: New Edition. Geneva, Switzerland: WHO. Available at: http://www.ncbi.nlm.nih.gov/books/NBK143157/. Accessed October 22, 2020.
-
5.
Simmons CP , Farrar JJ , Nguyen van VC , Wills B , 2012. Dengue. N Engl J Med 366: 1423–1432.
-
6.
Froudarakis ME , 2008. Diagnostic work-up of pleural effusions. Respir Int Rev Thorac Dis 75: 4–13.
-
7.
de Oliveira RVB , Rios LTM , dos Remédios Freitas Carvalho Branco M , Lopes Braga Júnior L , Nascimento JMS , Silva GF , Bandeira KP , 2010. Valor da ultrassonografia em crianças com suspeita de febre hemorrágica do dengue: revisão da literatura. Radiol Bras 43: 401–407.
-
8.
Rudralingam V , Footitt C , Layton B , 2017. Ascites matters. Ultrasound Leeds Engl 25: 69–79.
-
9.
Low GKK , Looi SY , Yong MH , Sharma D , 2018. Predictive and diagnostic test accuracy of ultrasonography in differentiating severe dengue from nonsevere dengue. J Vector Borne Dis 55: 79–88.
-
10.
Ibrahim F , Thio THG , Faisal T , Neuman M , 2015. The application of biomedical engineering techniques to the diagnosis and management of tropical diseases: a review. Sensors 15: 6947–6995.
-
11.
Dewan N , Messu C , Eelkema M , Osorio L , Bakker C , Kirsch J , 2019. A Scoping Review of the Use of Ultrasound in Dengue: Protocol for a Scoping Review. Available at: https://osf.io/v7jqw/. Accessed February 7, 2019.
-
12.
The EndNote Team , 2016, Endnote. Philadelphia, PA: Clarivate Analytics.
-
13.
Rayyan QCRI [Internet] , 2016. Doha, Qatar: Qatar Computing Research Institute. Available at: https://rayyan.qcri.org/welcome. Accessed January 7, 2019.
-
14.
Ouzzani M , Hammady H , Fedorowicz Z , Elmagarmid A , 2016. Rayyan—a web and mobile app for systematic reviews. Syst Rev 5: 210.
-
15.
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-
16.
Whiting PF , Rutjes AWS , Westwood ME , Mallett S , Deeks JJ , Reitsma JB , Leeflang MM , Sterne JA , Bossuyt PM ; QUADAS-2 Group , 2011. QUADAS-2: a revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med 155: 529–536.
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-
19.
Parmar JP , Mohan C , Vora M , 2017. Patterns of gall bladder wall thickening in dengue fever: a mirror of the severity of disease. Ultrasound Int Open 3: E76–E81.
-
20.
Levaggi ND , Lucas AN , Barletta JA , 2017. Bilateral acute angle closure in a patient with dengue fever: a case report. Arq Bras Oftalmol 80: 266–267.
-
21.
Setiawan MW , Samsi TK , Wulur H , Sugianto D , Pool TN , 1998. Dengue haemorrhagic fever: ultrasound as an aid to predict the severity of the disease. Pediatr Radiol 28: 1–4.
-
22.
Setiawan MW , Samsi TK , Wulur H , Sugianto D , Pool TN , 1998. Epigastric pain and sonographic assessment of the pancreas in dengue hemorrhagic fever. J Clin Ultrasound 26: 257–259.
-
23.
Shamim M , 2010. Frequency, pattern and management of acute abdomen in dengue fever in Karachi, Pakistan. Asian J Surg 33: 107–113.
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