BACKGROUND: We assessed the occurrence of @entity779 in association with travel in a non-endemic hilly region. The clinical presentation and laboratory parameters of febrile @entity1 with a travel history to an endemic region were studied, and the role of the laboratory in the diagnosis was affirmed. MATERIALS AND METHODS: Febrile @entity1 presenting with clinical features defining dengue with a history of travel to an endemic area constituted the study group. Serum samples were tested for dengue-specific @entity8768 antigen and IgM, IgG antibodies. The demographic data were retrieved from the hospital information system. A hematological and biochemical workup was done and the results analyzed using percentage, proportion, mean, and median. RESULTS: Out of 189 febrile @entity1 , 58 were reactive to serological tests for dengue, with 47 (81%) males. The presenting features were chills and @entity5084 , @entity925 , cough, sweating, and @entity391 . @entity882 (74.35%), @entity2905 (52.94%), and @entity1210 (47.05%) were present in early disease, with @entity6571 >34 IU/L in 58.97% of the @entity1 . The @entity8768 antigen was detectable between three and seven days of @entity221 and the IgM antibodies after five days. The positivities to only @entity8768 , both @entity8768 and IgM, and IgM alone were 60.34, 27.58, and 10.34%, respectively, and the median duration of @entity221 was five, seven, and ten days, respectively. One case of @entity7643 and one of probable secondary @entity281 with detectable IgG were encountered. CONCLUSION: @entity779 remains unsuspected in febrile cases in non-endemic regions. History of travel is an essential criterion to suspect dengue. A non-specific clinical presentation eludes diagnosis. Serological tests for antigen and antibodies, and hematological and biochemical markers are vital for distinguishing the diagnosis.

Emergence of travel: Associated XXXX in a non-endemic, hilly state.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity6571 :: ('26503', 'Gene') :: ['AST'] @entity882 :: ('MESH:D013921', 'Disease') :: ['Thrombocytopenia'] @entity7643 :: ('MESH:D019595', 'Disease') :: ['dengue hemorrhagic fever'] @entity2905 :: ('MESH:D008231', 'Disease') :: ['lymphopenia'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever'] @entity391 :: ('MESH:D014839', 'Disease') :: ['vomiting'] @entity281 :: ('MESH:D007239', 'Disease') :: ['dengue infection'] @entity8768 :: ('10625', 'Gene') :: ['NS1'] @entity779 :: ('MESH:D003715', 'Disease') :: ['Dengue fever', 'dengue fever'] @entity925 :: ('MESH:D063806', 'Disease') :: ['myalgia'] @entity5084 :: ('MESH:D012298', 'Disease') :: ['rigors'] @entity1210 :: ('MESH:C536227', 'Disease') :: ['leucopenia']
@entity779 :: (MESH:D003715,Disease) :: ['dengue fever']
