Clinical Cases

Dengue Fever in a Man of 39

Dengue Fever in a Man of 39 1

Drs. Raj K Pandit and Swati Pandey share a case of dengue fever in a man of 39. Irritability, bitter taste in mouth, fever with chill, desire to lie still were symptoms leading to the simillimum.

Abstract:

Dengue fever, also known as Break-bone or Dandy fever, is an acute viral infection caused by Dengue virus (DENV) harbored by female mosquitoes, Aedes aegypti mainly. In conventional medicine treatment includes, analgesics and sedatives only. We present a case of Dengue fever with positive findings in blood reports, that was managed homeopathically. The result demonstrates the importance of individualized homeopathic medicine in the management of dengue fever.

Case Report:

A male, aged thirty-nine presented with fever and chill for 5 days. Headache especially on both the temples which was ameliorated by hard pressure. Weakness and pain all over the body which was ameliorated by lying down quietly. Patient had consulted an allopathic physician and was given many doses of antipyretics, but found no relief and platelet counts were decreasing continually.

Past History: H/o jaundice in 2018, treated allopathically.

Family History:

  • Father: H/o HTN & Type II D.M., Mother: H/o O.A., Sibling: No such history.

Physical General:

  • Appetite: Poor
  • Thirsty
  • Tongue: Dry, white coated, with bitter taste.
  • Perspiration: Scanty, non-offensive.
  • Stool: Hard stool, not clear, Constipated.
  • Urine:
  • Sleep: Sound sleep.
  • Thermal reaction: Hot patient, desire to cover when chilly but kicks off covering when he becomes warm.

Mentals:

  • Wants to lie down quietly without being disturbed.
  • Does not want to talk.
  • Irritable.

Clinical Examination:

A. General Survey:

  • Appearance: Thin, tall, Decubitus: of choice, Pallor: Absent, Edema: Absent, Respiration rate (R/R): 22 breaths/ minute, Temperature (Temp.): 1020F, Blood pressure (B.P.): 100/70 mm of Hg, Pulse rate (P/R): 90/minute.

B. Systemic examination:

  • Respiratory system: Vesicular breath sound.

                                    Respiration rate- 22 breaths/ minute.

No added sound.

  • Gastrointestinal system: Liver and spleen-not palpable.

                                           Abdomen- soft.

                                           Normal peristaltic movement

  • Cardiovascular system: Pulse rate- 90/minute.

Blood pressure- 100/70 mm of Hg.

No added sound.

  • Nervous system: NAD.

C. Laboratory investigation:

  • On 07/12/12- Platelet count – 95,000/cu mm. (Figure-1)

– Dengue NS1 Antigen (ELISA) – 59.74. (Figure-2)

  • On 09/12/19- Platelet count 72,000/cu mm. (Figure-3)

Analysis and Evaluation of Symptoms:

Physical General:

  • Thirst:
  • Thermal reaction: Hot patient.
  • Stool: Difficult and hard.
  • Sleep: Sound Sleep.
  • Perspiration: Scanty, non-offensive

Particular:

  • Fever with Chill.
  • Headache during fever.
  • Tongue dry coated, with bitter taste.

Totality of the Symptoms:

  • Want to lie down quietly without being disturbed.
  • Does not want to talk.
  • Irritable.
  • Difficult and hard stool.
  • Tongue dry, with thirst.
  • Bitter taste in mouth.
  • Fever with chill.

Conversion of Symptoms into Rubrics:

S.N. SYMPTOMS CHAPTER RUBRICS PAGE NO.
1. Want to lie down quietly without being disturbed. MIND QUIET heat, during 70
2. Does not want to talk. MIND TALK, indisposed to. heat, during 86
3. Irritable. MIND IRRITABILITY, heat, during 59
4. Thirst with dry tongue. MOUTH DRYNESS, thirst with 403
5. Bitter taste in mouth. MOUTH TASTE, bitter 422
6. Difficult stool. RECTUM CONSTIPATION 606
7. Fever with chill FEVER CHILL, with 1284

Repertorial Analysis:

Repertorisation was done by Hompath software using Kent’s Repertory.

Dengue Fever in a Man of 39 2

Repertorial analysis showed that BRYONIA ALBA covered 6 symptoms out of 7 and got highest (15) marks. And after consulting with standard homoeopathic Materia medica Bryonia alba was prescribed.

PRESCRIPTION: 09/12/2019-  Bryonia alba 30 -2 doses. OD X 2 days  (Later followed by Bryonia 200)

Patient was advised for Blood Platelet count and asked to report every day.

FOLLOW UP:

Date Symptoms Investigation Prescription
10-12-19 Irritability decreased but still patient wanted to lie down quietly, Severity of Headache, weakness and pain all over the body slightly decreased, Appetite slightly increased, Bitterness same as before, Tongue and stool had no such improvement.

O/E, Temp. 1010F, P/R 85/minute, B.P. 110/76 mm of Hg, R/R 22/ minute.

Platelet count 92,000/cu mm.

(Fig. 4)

Rubrum 200/2 Doses

OD x 2days.

11-12-19 Irritability better than before but still wanted to lie down without being disturbed, Headache, weakness and body ache better than before, Appetite same as before, bitterness of mouth decreased, coating of tongue decreased, Stool soft but not clear.

O/E, Temp. 1000F, P/R 80/minute, B.P. 110/70 mm of Hg, R/R 20/ minute.

Platelet count 1,46,000/cu mm.

(Fig. 5)

Rubrum 200/2 Doses

OD x 2days.

12-12-19 Irritability remained as before, wanted to lie down quietly, Weakness, headache, body ache as before, Stool soft but not clear, bitterness of mouth decreased.

O/E, Temp. 1000F, P/R 80/minute, B.P. 110/70 mm of Hg, R/R 20/ minute.

Platelet count 1,33,000/cu mm.

(Fig. 6)

BRYONIA ALBA

200/2 Doses,

OD x 2days.

14-12-19 Mental wellbeing was good. Patient became active, No headache and body ache.  Weakness decreased. Appetite improved, taste of mouth normal, Tongue normal, no coating, Stool soft in consistency and clear. O/E, Temp. 98.60F, P/R 76/minute, B.P. 120/80 mm of Hg, R/R 18/ minute. Platelet count 2,62,000/cu mm.

(Fig. 7)

Rubrum 200/2 Doses

OD x 2days.

15-12-19 All symptoms were improved.

O/E, Temp. 98.40F, P/R 72/minute, B.P. 120/80 mm of Hg, R/R 18/ minute.

Platelet count 2,65,000/cu mm.

(Fig. 8)

Rubrum 200/2 Doses

OD x 2days.

18-12-19 All symptoms were improved.

Clinical findings- Within normal limit (WNL)

Dengue NS1 Antigen (ELISA) 22.73 (Fig. 9) Rubrum 200/14 Doses

OD x 14days.

AFTER 3 WEEKS

04-01-2020 Patient was active and doing well.

Clinical findings- Within normal limit (WNL)

 

Platelet count

2,94,000/cu mm. (Fig.10)

Dengue NS1 Antigen (ELISA) 0.51

(Fig.11)

No medicine prescribed.

FIGURE-1, DATE-07-12-19

Dengue Fever in a Man of 39 3

FIGURE-2, DATE-07-12-19

Dengue Fever in a Man of 39 4

FIGURE-3, DATE-09-12-19

Dengue Fever in a Man of 39 5

FIGURE-4, DATE- 10-12-19

Dengue Fever in a Man of 39 6

FIGURE-5, DATE-11-12-19

Dengue Fever in a Man of 39 7

FIGURE-6, DATE-12-12-19

Dengue Fever in a Man of 39 8

FIGURE-7, DATE-14-12-19

Dengue Fever in a Man of 39 9

FIGURE-8, DATE-15-12-19

Dengue Fever in a Man of 39 10

FIGURE-9, DATE-18-12-19

Dengue Fever in a Man of 39 11

FIGURE-10, DATE- 04-01-2020

Dengue Fever in a Man of 39 12

FIGURE-11, DATE-04-01-2020

Dengue Fever in a Man of 39 13

About the author

Raj. K. Pandit

Dr. Raj K Pandit. M.D.(Hom.) - Dept. of case taking and Repertory, Mahesh Bhattacharyya Homoeopathic Medical College & Hospital, (Govt. of W.B.)

About the author

Swati Pandey

Dr. Swati Pandey. M.D.(Hom.) - Dept. of case taking and Repertory, Bhattacharyya Homoeopathic Medical College & Hospital, (Govt. of W.B.)

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