Serological Distribution and Hematological Profiling of Dengue Virus Infection at Hyderabad and Adjoining Areas: A Cross-Sectional Study
Serological Distribution and Hematology Analysis of Dengue Virus Infection
DOI:
https://doi.org/10.54393/pbmj.v9i3.1356Keywords:
Serology, Dengue NS1, Fever, Myalgia, MortalityAbstract
Pakistan appears to be a dengue endemic area with seasonal outbreaks and a high spike every year. Objectives: To investigate the period prevalence (positivity rate) of dengue viral infection (DVI) among suspected cases in the hospital and other factors related to DVI in Hyderabad district, Sindh, Pakistan, between August and December 2025. Methods: A cross-sectional study to find out the period prevalence of DVI through a hospital survey and specially designed Questionnaires including 20-60 years’ age patients complaining of dengue-specific symptoms. Dengue NS1 antigen test, IgM, IgG, and CBC were performed, and results were interpreted using the chi-square test via SPSS version 22.0. Results: Out of 544 patients, 255 cases were dengue positive. 244 (95%) were found to be dengue NS1 antigen positive, 8 (3%) were IgG positive, and 3 (1%) were positive with IgM. Age and gender revealed no significant statistical association with DVI. However, more males (49%) in the age range of 20-30 years were majorly affected by the dengue virus. Seasonal variation study depicted October as the month badly hit by DVI with a major surge in Dengue, i.e., 140 positive cases. The Hyderabad main city area and Qasimabad were majorly affected by DVI. The most common symptoms observed in dengue-positive cases included muscle and joint pain, vomiting, headache, and nausea accompanied by fever. Conclusions: The research finds that dengue infection is in a significant upsurge in Hyderabad, and the majority of the positive cases are in the early acute stage (NS1-positive).
References
Channa MA, Memon N. 12. Seasonal Variation in the Prevalence of Larvae of Aedes Aegypti Mosquito in District Hyderabad, Sindh, Pakistan. Pure and Applied Biology. 2020 Apr; 9(2): 1354-63. doi: 10.19045/bspab.2020.90142.
Sahar G, Mobeen H, Ghafoor MA, Baghdadi MH, Fatima A. Seroepidemiology of Dengue Fever and the Associated Sociodemographic, Clinical, and Environmental Factors in Lahore, Pakistan. Journal of Pharma and Biomedics. 2025 Jun; 3(1): 83-9.
Liu LT, Huang SY, Lin CH, Chen CH, Tsai CY, Lin PC et al. The Epidemiology and Identification of Risk Factors Associated with Severe Dengue During the 2023 Dengue Outbreak in Kaohsiung City, Taiwan. Travel Medicine and Infectious Disease. 2025 May; 65: 102852. doi: 10.1016/j.tmaid.2025.102852.
Ullah W, Izaz M, Nasir A, Miss R, Islam Z, Khan M et al. Epidemiology and Risk Factors of Dengue Fever Outbreak in Peshawar, Pakistan: A Hospital-Based Surveillance Study. Indus Journal of Bioscience Research. 2025 May; 3(5): 331-6. doi: 10.70749/ijbr.v3i5.1192.
Najafi S, Jojani M, Najafi K, Costanzo V, Vicidomini C, Roviello GN. West Nile Virus: Epidemiology, Surveillance, and Prophylaxis with a Comparative Insight from Italy and Iran. Vaccines. 2026 Jan; 14(1): 57. doi: 10.3390/vaccines14010057.
Yang X, Quam MB, Zhang T, Sang S. Global Burden for Dengue and the Evolving Pattern in the Past 30 Years. Journal of Travel Medicine. 2021 Dec; 28(8): taab146. doi: 10.1093/jtm/taab146.
Arain SQ, Channa NA, Talpur FN, Memon NH, Sheikh M, Phull AR. Dengue Fever: Prevalence, Risk Factors and Serological Diagnosis in Hyderabad, Sindh, Pakistan. Journal of Fatima Jinnah Medical University. 2024; 18(4): 185-90. doi: 10.37018/AXDS9956.
Shabbir W, Pilz J, Naeem A. A Spatial-Temporal Study for the Spread of Dengue Depending on Climate Factors in Pakistan (2006–2017). BioMed Central Public Health. 2020 Jun; 20(1): 995. doi: 10.1186/s12889-020-08846-8.
Akhtar K. Dengue Infected Patients in the Local Population of Lahore: Dengue Patients in Lahore. Pakistan BioMedical Journal. 2022 Dec: 02-6. doi: 10.54393/pbmj.v5i12.833.
Chang Z, Birmani NA, Chang AH, Jamali L, Chang N, Chang F. Analysis of Clinical and Hematological Findings in Malaria-Infected Patients in Hyderabad, Sindh. Biologia (Lahore). 2024; 70(2): 47-53.
Jamal Z, Humayun F, Haider SA, Hakim R, Hill V, Saeed SY et al. Genomic Characterization and Serotype Distribution of Dengue Virus Circulating in Pakistan During 2024. Infection, Genetics and Evolution. 2025 Aug: 105815. doi: 10.1016/j.meegid.2025.105815.
Pescarini JM, Rodrigues M, Paixão ES, Cardim L, De Brito CA, Costa MD et al. Dengue, Zika, and Chikungunya Viral Circulation and Hospitalization Rates in Brazil from 2014 To 2019: An Ecological Study. PLos Neglected Tropical Diseases. 2022 Jul; 16(7): e0010602. doi: 10.1371/journal.pntd.0010602.
Qureshi H, Khan MI, Bae SJ, Akhtar S, Khattak AA, Haider A et al. Prevalence of Dengue Virus in Haripur District, Khyber Pakhtunkhwa, Pakistan. Journal of Infection and Public Health. 2023 Jul; 16(7): 1131-6. doi: 10.1016/j.jiph.2023.04.021.
Shahid M, Amin I, Afzal S, Fatima Z, Zahid S, Ashraf U et al. Prevalence and Molecular Detection of Dengue Virus in the 2013 Outbreak in KPK and Punjab, Pakistan. Pakistan Journal of Zoology. 2017 Jun; 49(3). doi: 10.17582/journal.pjz/2017.49.3.sc4.
Elanchezhiyan C, Gogoi U, Shende V, Basu S, Bandyopadhyay S, Mandal B et al. Spatio-Temporal Distribution of Dengue Cases and Vectors Along with the Interrelationship of Environmental and Climatic Factors in the Metropolitan City, Kolkata, India, for 2017-2022: Calling Implications for Vector Control. Emerging Microbes and Infections. 2025 Apr; 14(1): 2493924-. doi: 10.1080/22221751.2025.2493924.
Saeed A, Ali S, Khan F, Muhammad S, Reboita MS, Khan AW et al. Modelling the Impact of Climate Change on Dengue Outbreaks and Future Spatiotemporal Shift in Pakistan. Environmental Geochemistry and Health. 2023 Jun; 45(6): 3489-505. doi: 10.1007/s10653-022-01429-z.
Zafar Z, Zubair M, Fahd S. Extreme Weather Events and Their Socioeconomic Impacts: A Remote Sensing-Based Analysis of Flood Damages. Global and Earth Surface Processes Change. 2024 Jun; 1: 100001. doi: 10.1016/j.gespch.2024.100001.
Yani A. The Influence of Environmental Factors on the Development of Dengue Fever. The International Science of Health Journal. 2024 Dec; 2(4): 116-23. doi: 10.59680/ishel.v2i4.1569.
Wang D, Wu X, Chen J, Zhao L. Urbanization, Infrastructure, and Mosquito Thermal Suitability Shape the Causal Effects of Extreme Weather on Dengue Transmission. The Innovation Medicine. 2026 Jan; 4(1): 100188. doi: 10.59717/j.xinn-med.2026.100188.
Ramu ST, Dissanayake M, Jeewandara C, Bary F, Harvie M, Gomes L et al. Antibody and Memory B Cell Responses to the Dengue Virus NS1 Antigen in Individuals with Varying Severity of Past Infection. Immunology. 2023 Sep; 170(1): 47-59. doi: 10.1111/imm.13651.
Zeb F, Haleem KS, Almuqbil M, Rashid M, Hussain W, Maqbool F et al. Age, Gender, and Infectious Status-Wise Assessments of Hematological Parameters Among Patients with Dengue Infection. Heliyon. 2024 Jul; 10(13). doi: 10.1016/j.heliyon.2024.e34053.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Pakistan BioMedical Journal

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments editor@pakistanbmj.com

