Title: Clinical Presentation and Laboratory Interpretation of Dengue Fever Patients Attending Medani Teaching Hospital: Predictors of Severe Disease 2025.
Authors: Tanzeel Alamin Almahdi Gorashią , Ahmed Alsiddig Shamsaldeen Ebraheem˛
Volume: 10
Issue: 5
Pages: 1-6
Publication Date: 2026/05/28
Abstract:
Background. Dengue has become a major problem in Sudan, especially in Gezira State where hospitals like Medani Teaching Hospital struggle to cope with large numbers of patients. We lack good local studies that connect clinical symptoms with lab results, making it hard to know who needs urgent care. Objective. We wanted to document who gets dengue in our hospital, what symptoms they have, what their blood tests show, and which factors predict severe disease that might need ICU care. Methods. From October to December 2025, we studied 74 patients at Medani Teaching Hospital who had confirmed dengue. We used detailed questionnaires and compared symptoms and lab results with statistical tests to find patterns. Results. Most patients were women (65%) under 40 years old (81%) who came to hospital around day 3 of illness. Nearly everyone had fever (95%), most had headache (70%) and muscle pain (61%). Low platelets were common (43%, average 110,000/?L) and bleeding was seen in 27% of cases. Bleeding strongly predicted severe disease (p=0.001) while low platelets showed a trend (p=0.081). Nearly 4 in 10 also had malaria. Forty-three percent needed admission and 27% had serious complications. Conclusion. In our setting, bleeding and low platelets clearly identify patients at highest risk. Hospitals like ours need simple triage tools that catch these warning signs early, especially since malaria often complicates the picture. These findings should help develop practical guidelines for Sudan.