Association of different blood groups in patients with Dengue fever and their relationship with the severity of the illness

Keywords: Blood Groups, Dengue Virus, Dengue Fever, Dengue Hemorrhagic Fever, Dengue Shock Syndrome

Abstract

Objective: To determine the association of different blood groups in patients with Dengue fever and their relationship with the severity of the illness.

Methods: A hospital-based descriptive study was conducted in the Dengue Isolation Ward of Lady Reading Hospital Peshawar from March 2020 to September 2020. Patients with Dengue fever were included in the study. The severity of the illness was categorized as “Dengue fever (DF)”, “Dengue hemorrhagic fever (DHF)”, and “Dengue shock syndrome (DSS)”. The patients’ blood groups were determined as A, B, AB, and O groups. All the data were recorded and analyzed using SPSS® version 23. Chi-square (χ2) and student t-test were applied, and a p-value of ≤0.05 was considered significant.

Results: Out of 160 patients, 119(74.4%) were males; the patient’s mean age was 38.09±15.68 SD, IQR=25 years. Greater proportion (28%) of the young men (up to 40 years) was affected compared to 9% young women. Fever (99%) and body aches (96%) were the most common presentation of DF, complicated by bleeding in 30.6% and shock in 9.4% of the patients. The majority (63.1%) of the patients had DF; 27.5% had DHF, and 9.4% had DSS. Sixty three (39.4%) patients had blood Group-B and 5.6% had Group-AB (p=0.97). The proportion of patients with different blood groups and the type/severity of the DF were almost identical except the fact that none of the patient with group AB had DSS. There was significant gender difference of hemoglobin (p=0.008, 95%CI=0.439, 2.844), hematocrit (p=0.012, 95%CI=0.00974, 0.07946); and Alanine Aminotransferase levels (p=0.002, 95%CI=-332.032, -72.233).

Conclusion: Patients with blood Group-B were more frequent and AB was least commonly affected by the Dengue-virus infections. However, no association was found between a particular blood group and disease severity. Greater proportions of the younger men had Dengue infections.

doi: https://doi.org/10.12669/pjms.39.5.7275

How to cite this: Iqbal N, Afridi MAR, Ali Z, Rafiq A. Association of different blood groups in patients with Dengue fever and their relationship with the severity of the illness. Pak J Med Sci. 2023;39(5):1301-1306. doi: https://doi.org/10.12669/pjms.39.5.7275

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Author Biographies

Naveed Iqbal, Lady Reading Hospital/Medical Teaching Institution, Peshawar Pakistan

Assistant Professor Medicine, LRH/MTI

Zafar Ali, Lady Reading Hospital/Medical Teaching Institution, Peshawar Pakistan

Assistant Professor Medicine, LRH/MTI

Published
2023-08-02
How to Cite
Iqbal, N., Afridi, M. A. R., Ali, Z., & Rafiq, A. (2023). Association of different blood groups in patients with Dengue fever and their relationship with the severity of the illness. Pakistan Journal of Medical Sciences, 39(5). https://doi.org/10.12669/pjms.39.5.7275
Section
Original Articles