Clinical and Laboratory Profile of Dengue Fever Among Patients Admitted to The Military Hospital, Omdurman, Sudan 2026

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Date
2026
Authors
Mabb Alsadeg Edres Mohammed
Mohammed Ibrahim Elshikh Mohammed
Rayan Ahmed Ali Omer
Nosiaba Altaher Hassan Alnazef
Alaa Merghani Keissan
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Napata College
Abstract
Background: Dengue fever is a significant global public health concern, with an estimated 3.9 billion people at risk across 128 countries. In Sudan, the disease is highly endemic, with a national prevalence of approximately 27%. Despite its prevalence, early clinical diagnosis remains challenging due to non-specific manifestations that overlap with other endemic febrile illnesses like malaria, leading to potential delays in managing life-threatening complications. Objective: To evaluate the clinical, epidemiological, and hematological profiles of laboratory confirmed dengue patients at Omdurman Military Hospital to improve diagnostic accuracy and clinical management. Methodology: A retrospective hospital-based cross-sectional study was conducted at Omdurman Military Hospital. The study population included all laboratory-confirmed pediatric and adult dengue cases managed between September 2025 and December 2025. Data were extracted from medical records using a structured checklist covering socio-demographic, clinical, and laboratory parameters. Data analysis was performed using SPSS version 26.0. Results: The study included 59 participants with a mean age of 39.46 \pm 14.77 years. The most common clinical presentations were fever (94.9%), headache (93.2%), and myalgia (81.4%). Epistaxis (40.7%) and bleeding gums (23.7%) were the leading hemorrhagic manifestations. Hematological findings revealed a mean platelet count of 133,180.0 \pm 93,289.0 cells/mm³ and a mean WBC count of 5,917.5 \pm 4,121.2 cells/mm³. Diagnoses were primarily confirmed via IgM (96.6%) and NS1 antigen (88.1%). While 62.1% of cases were classified as classic Dengue Fever, 37.9% developed severe forms (DHF and DSS). Notably, malaria co-infection was present in 31.0% of patients. Conclusion: Dengue fever is a major cause of acute febrile illness in Omdurman, primarily affecting young and middle-aged adults. Although most outcomes were favorable (93.2% discharge rate), the high prevalence of severe forms and malaria co-infection necessitates routine hematological monitoring and integrated fever management protocols to ensure early detection and prevent fatalities.
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Napata College
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