SlideShare a Scribd company logo
1 of 39
DENGUE FEVER Prof. D. S. Akram Dr. Saba Ahmed Peads Unit 1 CHK, DUHS
INTRODUCTION ,[object Object],[object Object],[object Object],[object Object],[object Object]
MOSQUITO VECTOR ,[object Object],[object Object]
MOSQUITO VECTOR ,[object Object],[object Object],[object Object],[object Object],[object Object]
DENGUE VIRUS ,[object Object],[object Object],[object Object],[object Object]
EPIDEMIOLOGY ,[object Object],[object Object]
EPIDEMIOLIGICAL PATTERN OF DENGUE FEVER
CLINICAL FEATURES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WHO Case Definition:  Dengue Fever ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WHO Case Definition Dengue Hemorrhagic Fever ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
WHO Case Definition Dengue Shock Syndrome ,[object Object],[object Object],[object Object],[object Object]
WHO Grading of DHF ,[object Object],[object Object],[object Object],[object Object],[object Object]
CLINCAL PRESENTATION
Hemorrhagic Manifestations
SKIN RASHES IN DENGUE FEVER
Difference between children and adults ,[object Object],[object Object],[object Object],[object Object],[object Object]
Dengue Cases in 1980 ,[object Object],[object Object]
Dengue Virus Infection Karachi (1994) ,[object Object],[object Object]
IgM – ELISA ON Serum specimens from Karachi, Pakistan, 1994 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Characteristics of patients with and without Anti-dengue IgM ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recent epidemic of Dengue fever ,[object Object],[object Object],[object Object]
Dengue fever 2006 ,[object Object],[object Object]
[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Outpatient management of DF
Outpatient management of DF(cont) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outpatient management of DF(cont) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Indications of hospitalization ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Volume replacement in DHF with >20%hematocrit ,[object Object],[object Object],[object Object],[object Object],[object Object]
TREATEMENT DURING   INDONESIAN EPIDEMIC
CHILD WITH DENGUE SHOCK SYNDROME
Volume replacement in DHF with >20%hematocrit (cont) ,[object Object],[object Object],[object Object]
Management of Thrombocytopenia ,[object Object],[object Object],[object Object],[object Object]
Criteria for discharging inpatients ,[object Object],[object Object],[object Object],[object Object],[object Object]
PREVENTION ,[object Object],[object Object],[object Object],[object Object]
PREVENTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusion ,[object Object],[object Object]
Conclusion……….. Cont. ,[object Object]
Surveillance of Dengue fever: ,[object Object]
Thank You Prof. D. S. Akram Dr Saba Ahmed Peads Unit 1 CHK, DUHS

More Related Content

What's hot (20)

Dengue, DENGUE FEVER, DHS
Dengue, DENGUE FEVER, DHSDengue, DENGUE FEVER, DHS
Dengue, DENGUE FEVER, DHS
 
Dengue
DengueDengue
Dengue
 
Dengue fever presentation
Dengue fever presentationDengue fever presentation
Dengue fever presentation
 
Dengue in Children
Dengue in ChildrenDengue in Children
Dengue in Children
 
Dengue ppt
Dengue pptDengue ppt
Dengue ppt
 
Dengue Fever
 Dengue Fever Dengue Fever
Dengue Fever
 
Dengue fever presentation
Dengue fever presentationDengue fever presentation
Dengue fever presentation
 
DENGUE FEVER.pptx
DENGUE FEVER.pptxDENGUE FEVER.pptx
DENGUE FEVER.pptx
 
Dengue Fever(2),09
Dengue Fever(2),09Dengue Fever(2),09
Dengue Fever(2),09
 
Management of dengue patient
Management of dengue patientManagement of dengue patient
Management of dengue patient
 
Dengue
DengueDengue
Dengue
 
Aetiology,pathophysiology and diagnosis of dengue infection
Aetiology,pathophysiology and diagnosis of dengue infectionAetiology,pathophysiology and diagnosis of dengue infection
Aetiology,pathophysiology and diagnosis of dengue infection
 
Dengue
DengueDengue
Dengue
 
Plague
Plague Plague
Plague
 
Dengue
DengueDengue
Dengue
 
acute febrile illnesses
acute febrile illnessesacute febrile illnesses
acute febrile illnesses
 
Dengue with who guidelines
Dengue with who guidelinesDengue with who guidelines
Dengue with who guidelines
 
Dengue fever recent advances
Dengue fever recent advancesDengue fever recent advances
Dengue fever recent advances
 
Enteric fever (typhoid fever)
Enteric fever (typhoid fever)Enteric fever (typhoid fever)
Enteric fever (typhoid fever)
 
Dengue
DengueDengue
Dengue
 

Similar to DENGUE FEVER

Dr Deepak Dadhich DENGUE FEVER ppt under guidance of Dr Jitendra Verma Sir Pr...
Dr Deepak Dadhich DENGUE FEVER ppt under guidance of Dr Jitendra Verma Sir Pr...Dr Deepak Dadhich DENGUE FEVER ppt under guidance of Dr Jitendra Verma Sir Pr...
Dr Deepak Dadhich DENGUE FEVER ppt under guidance of Dr Jitendra Verma Sir Pr...HakunaMatata198441
 
Epidemiology &prevention of dengue
Epidemiology &prevention of dengueEpidemiology &prevention of dengue
Epidemiology &prevention of dengueMonika
 
Dengue&dhf information for health care practitioners 2009
Dengue&dhf information for health care practitioners 2009Dengue&dhf information for health care practitioners 2009
Dengue&dhf information for health care practitioners 2009Tonzaaton Oozaa
 
Cpm15th dengue fever_doh
Cpm15th dengue fever_dohCpm15th dengue fever_doh
Cpm15th dengue fever_dohmerylladreanne
 
dengue diagnosis and management
dengue diagnosis and managementdengue diagnosis and management
dengue diagnosis and managementNishant Agarwal
 
Clinical Management of Dengue fever.pptx
Clinical Management of Dengue fever.pptxClinical Management of Dengue fever.pptx
Clinical Management of Dengue fever.pptxDrGyaneshwarYadav
 
Dengue Fever Clinical
Dengue Fever ClinicalDengue Fever Clinical
Dengue Fever ClinicalSMNiazMowla1
 
Dengue Fever – Newer Insights.pptx
Dengue Fever – Newer Insights.pptxDengue Fever – Newer Insights.pptx
Dengue Fever – Newer Insights.pptxMudreka3
 
The dengue syndrome_Vighnesh D
The dengue syndrome_Vighnesh DThe dengue syndrome_Vighnesh D
The dengue syndrome_Vighnesh DVighnesh D
 
Indian national guidelines management of dengue fever (4)
Indian national guidelines management of dengue fever (4)Indian national guidelines management of dengue fever (4)
Indian national guidelines management of dengue fever (4)vaibhavgode
 

Similar to DENGUE FEVER (20)

Dengue
DengueDengue
Dengue
 
Dr Deepak Dadhich DENGUE FEVER ppt under guidance of Dr Jitendra Verma Sir Pr...
Dr Deepak Dadhich DENGUE FEVER ppt under guidance of Dr Jitendra Verma Sir Pr...Dr Deepak Dadhich DENGUE FEVER ppt under guidance of Dr Jitendra Verma Sir Pr...
Dr Deepak Dadhich DENGUE FEVER ppt under guidance of Dr Jitendra Verma Sir Pr...
 
Epidemiology &prevention of dengue
Epidemiology &prevention of dengueEpidemiology &prevention of dengue
Epidemiology &prevention of dengue
 
Dengue
DengueDengue
Dengue
 
Dengue&dhf information for health care practitioners 2009
Dengue&dhf information for health care practitioners 2009Dengue&dhf information for health care practitioners 2009
Dengue&dhf information for health care practitioners 2009
 
Cpm15th dengue fever_doh
Cpm15th dengue fever_dohCpm15th dengue fever_doh
Cpm15th dengue fever_doh
 
dengue diagnosis and management
dengue diagnosis and managementdengue diagnosis and management
dengue diagnosis and management
 
Clinical Management of Dengue fever.pptx
Clinical Management of Dengue fever.pptxClinical Management of Dengue fever.pptx
Clinical Management of Dengue fever.pptx
 
DENGUE
DENGUE DENGUE
DENGUE
 
Dengue
Dengue Dengue
Dengue
 
Dengue fever
Dengue feverDengue fever
Dengue fever
 
Dengue Fever Clinical
Dengue Fever ClinicalDengue Fever Clinical
Dengue Fever Clinical
 
9.dengue seminar
9.dengue seminar9.dengue seminar
9.dengue seminar
 
Dengue Fever – Newer Insights.pptx
Dengue Fever – Newer Insights.pptxDengue Fever – Newer Insights.pptx
Dengue Fever – Newer Insights.pptx
 
Dengue final pdf
Dengue final pdfDengue final pdf
Dengue final pdf
 
Dengue fever 2020
Dengue fever 2020Dengue fever 2020
Dengue fever 2020
 
The dengue syndrome_Vighnesh D
The dengue syndrome_Vighnesh DThe dengue syndrome_Vighnesh D
The dengue syndrome_Vighnesh D
 
dengue syndrome
dengue syndrome dengue syndrome
dengue syndrome
 
Demam Berdarah Dengue
Demam Berdarah DengueDemam Berdarah Dengue
Demam Berdarah Dengue
 
Indian national guidelines management of dengue fever (4)
Indian national guidelines management of dengue fever (4)Indian national guidelines management of dengue fever (4)
Indian national guidelines management of dengue fever (4)
 

More from icsp

Knowledge and attitude of health care workers regarding blood borne pathogens
Knowledge and attitude of health care workers regarding blood borne pathogensKnowledge and attitude of health care workers regarding blood borne pathogens
Knowledge and attitude of health care workers regarding blood borne pathogensicsp
 
Hytadid Disease
Hytadid DiseaseHytadid Disease
Hytadid Diseaseicsp
 
Management of Hepatitis C with Natural and Synthetic Medicine
Management of Hepatitis C with Natural and Synthetic Medicine Management of Hepatitis C with Natural and Synthetic Medicine
Management of Hepatitis C with Natural and Synthetic Medicine icsp
 
BLOOD SCREENING :AntiHBc and NAT-Necessity or Luxury
BLOOD SCREENING :AntiHBc and NAT-Necessity or LuxuryBLOOD SCREENING :AntiHBc and NAT-Necessity or Luxury
BLOOD SCREENING :AntiHBc and NAT-Necessity or Luxuryicsp
 
Safe Blood
Safe BloodSafe Blood
Safe Bloodicsp
 
PREVENTION OF MATERNAL AND FETAL INFECTION
PREVENTION OF MATERNAL AND FETAL INFECTIONPREVENTION OF MATERNAL AND FETAL INFECTION
PREVENTION OF MATERNAL AND FETAL INFECTIONicsp
 
ROLE OF INFECTION CONTROL IN DERMATOLOGY
ROLE OF INFECTION CONTROL IN DERMATOLOGYROLE OF INFECTION CONTROL IN DERMATOLOGY
ROLE OF INFECTION CONTROL IN DERMATOLOGYicsp
 
Precautions to Prevent Transmission of Infectious Agents Among Patients and P...
Precautions to Prevent Transmission of Infectious Agents Among Patients and P...Precautions to Prevent Transmission of Infectious Agents Among Patients and P...
Precautions to Prevent Transmission of Infectious Agents Among Patients and P...icsp
 
PREVENTION OF FUNGAL INFECTIONS
PREVENTION OF FUNGAL INFECTIONS PREVENTION OF FUNGAL INFECTIONS
PREVENTION OF FUNGAL INFECTIONS icsp
 
Infection Control in Countries with Limited Resources
Infection Control in Countries with Limited Resources Infection Control in Countries with Limited Resources
Infection Control in Countries with Limited Resources icsp
 
Gloves, Alcohol Hand Rubs, Soap and Water: Which? When? Why?
Gloves, Alcohol Hand Rubs, Soap and Water: Which? When? Why?Gloves, Alcohol Hand Rubs, Soap and Water: Which? When? Why?
Gloves, Alcohol Hand Rubs, Soap and Water: Which? When? Why?icsp
 
DR. SARWAR JEHAN ZUBERI LECTURE
DR. SARWAR JEHAN ZUBERI LECTUREDR. SARWAR JEHAN ZUBERI LECTURE
DR. SARWAR JEHAN ZUBERI LECTUREicsp
 
AN INNOVATIVE APPROACH TOWARDS THE TREATMENT of HEPATITIS C
AN INNOVATIVE APPROACH TOWARDS THE TREATMENT of HEPATITIS CAN INNOVATIVE APPROACH TOWARDS THE TREATMENT of HEPATITIS C
AN INNOVATIVE APPROACH TOWARDS THE TREATMENT of HEPATITIS Cicsp
 
HEALTHY DWELLING HEALTHY COMMUNITY
HEALTHY DWELLING HEALTHY COMMUNITY HEALTHY DWELLING HEALTHY COMMUNITY
HEALTHY DWELLING HEALTHY COMMUNITY icsp
 
Infection Control Practices Under the Microscope
Infection Control Practices Under the Microscope  Infection Control Practices Under the Microscope
Infection Control Practices Under the Microscope icsp
 
Global challenges with BBV transmission in health
Global challenges with BBV transmission in health Global challenges with BBV transmission in health
Global challenges with BBV transmission in health icsp
 
Strategies in Waste Management in low income countries
Strategies in Waste Management in low income countries Strategies in Waste Management in low income countries
Strategies in Waste Management in low income countries icsp
 

More from icsp (17)

Knowledge and attitude of health care workers regarding blood borne pathogens
Knowledge and attitude of health care workers regarding blood borne pathogensKnowledge and attitude of health care workers regarding blood borne pathogens
Knowledge and attitude of health care workers regarding blood borne pathogens
 
Hytadid Disease
Hytadid DiseaseHytadid Disease
Hytadid Disease
 
Management of Hepatitis C with Natural and Synthetic Medicine
Management of Hepatitis C with Natural and Synthetic Medicine Management of Hepatitis C with Natural and Synthetic Medicine
Management of Hepatitis C with Natural and Synthetic Medicine
 
BLOOD SCREENING :AntiHBc and NAT-Necessity or Luxury
BLOOD SCREENING :AntiHBc and NAT-Necessity or LuxuryBLOOD SCREENING :AntiHBc and NAT-Necessity or Luxury
BLOOD SCREENING :AntiHBc and NAT-Necessity or Luxury
 
Safe Blood
Safe BloodSafe Blood
Safe Blood
 
PREVENTION OF MATERNAL AND FETAL INFECTION
PREVENTION OF MATERNAL AND FETAL INFECTIONPREVENTION OF MATERNAL AND FETAL INFECTION
PREVENTION OF MATERNAL AND FETAL INFECTION
 
ROLE OF INFECTION CONTROL IN DERMATOLOGY
ROLE OF INFECTION CONTROL IN DERMATOLOGYROLE OF INFECTION CONTROL IN DERMATOLOGY
ROLE OF INFECTION CONTROL IN DERMATOLOGY
 
Precautions to Prevent Transmission of Infectious Agents Among Patients and P...
Precautions to Prevent Transmission of Infectious Agents Among Patients and P...Precautions to Prevent Transmission of Infectious Agents Among Patients and P...
Precautions to Prevent Transmission of Infectious Agents Among Patients and P...
 
PREVENTION OF FUNGAL INFECTIONS
PREVENTION OF FUNGAL INFECTIONS PREVENTION OF FUNGAL INFECTIONS
PREVENTION OF FUNGAL INFECTIONS
 
Infection Control in Countries with Limited Resources
Infection Control in Countries with Limited Resources Infection Control in Countries with Limited Resources
Infection Control in Countries with Limited Resources
 
Gloves, Alcohol Hand Rubs, Soap and Water: Which? When? Why?
Gloves, Alcohol Hand Rubs, Soap and Water: Which? When? Why?Gloves, Alcohol Hand Rubs, Soap and Water: Which? When? Why?
Gloves, Alcohol Hand Rubs, Soap and Water: Which? When? Why?
 
DR. SARWAR JEHAN ZUBERI LECTURE
DR. SARWAR JEHAN ZUBERI LECTUREDR. SARWAR JEHAN ZUBERI LECTURE
DR. SARWAR JEHAN ZUBERI LECTURE
 
AN INNOVATIVE APPROACH TOWARDS THE TREATMENT of HEPATITIS C
AN INNOVATIVE APPROACH TOWARDS THE TREATMENT of HEPATITIS CAN INNOVATIVE APPROACH TOWARDS THE TREATMENT of HEPATITIS C
AN INNOVATIVE APPROACH TOWARDS THE TREATMENT of HEPATITIS C
 
HEALTHY DWELLING HEALTHY COMMUNITY
HEALTHY DWELLING HEALTHY COMMUNITY HEALTHY DWELLING HEALTHY COMMUNITY
HEALTHY DWELLING HEALTHY COMMUNITY
 
Infection Control Practices Under the Microscope
Infection Control Practices Under the Microscope  Infection Control Practices Under the Microscope
Infection Control Practices Under the Microscope
 
Global challenges with BBV transmission in health
Global challenges with BBV transmission in health Global challenges with BBV transmission in health
Global challenges with BBV transmission in health
 
Strategies in Waste Management in low income countries
Strategies in Waste Management in low income countries Strategies in Waste Management in low income countries
Strategies in Waste Management in low income countries
 

Recently uploaded

Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipurparulsinha
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...narwatsonia7
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Gabriel Guevara MD
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsMedicoseAcademics
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photosnarwatsonia7
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaPooja Gupta
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...narwatsonia7
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...narwatsonia7
 
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any TimeCall Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Timevijaych2041
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...narwatsonia7
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceNehru place Escorts
 
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...rajnisinghkjn
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAAjennyeacort
 

Recently uploaded (20)

Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
 
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service JaipurHigh Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
High Profile Call Girls Jaipur Vani 8445551418 Independent Escort Service Jaipur
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
Russian Call Girls Gunjur Mugalur Road : 7001305949 High Profile Model Escort...
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024
 
Hematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes FunctionsHematology and Immunology - Leukocytes Functions
Hematology and Immunology - Leukocytes Functions
 
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original PhotosCall Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
Call Girl Service Bidadi - For 7001305949 Cheap & Best with original Photos
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service NoidaCall Girls Service Noida Maya 9711199012 Independent Escort Service Noida
Call Girls Service Noida Maya 9711199012 Independent Escort Service Noida
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
 
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Hosur Just Call 7001305949 Top Class Call Girl Service Available
 
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
Housewife Call Girls Hsr Layout - Call 7001305949 Rs-3500 with A/C Room Cash ...
 
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any TimeCall Girls Viman Nagar 7001305949 All Area Service COD available Any Time
Call Girls Viman Nagar 7001305949 All Area Service COD available Any Time
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
Call Girls Jp Nagar Just Call 7001305949 Top Class Call Girl Service Available
 
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
Call Girls Service in Bommanahalli - 7001305949 with real photos and phone nu...
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
 
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
Dwarka Sector 6 Call Girls ( 9873940964 ) Book Hot And Sexy Girls In A Few Cl...
 
97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA97111 47426 Call Girls In Delhi MUNIRKAA
97111 47426 Call Girls In Delhi MUNIRKAA
 

DENGUE FEVER