Pattern of Presentation and Organ Involvement in Dengue Fever at Dhaka Medical College Hospital

Authors

  • Motlabur Rahman Associate Professor, Department of Medicine, Dhaka Medical College, Dhaka
  • Pratyay Hasan Indoor Medical Officer, Department of Medicine, Dhaka Medical College Hospital, Dhaka
  • Tanjina Farheen Intern Doctor, Department of Medicine, Dhaka Medical College Hospital, Dhaka
  • Md Khairul Islam Junior Consultant, Department of Medicine, Dhaka Medical College Hospital, Dhaka
  • Md Harun Ur Rashid Indoor Medical Officer, Department of Medicine, Dhaka Medical College Hospital, Dhaka
  • Md Manjurul Haque Registrar, Department of Medicine, Dhaka Medical College, Dhaka
  • Imtiaz Faruq Assistant Registrar, Department of Medicine, Dhaka Medical College Hospital, Dhaka
  • Jobayer Anam Chowdhury Thesis Part Student (MD, Cardiology), National Institute of Cardiovascular Diseases (NICVD), Dhaka
  • Ponkaj Kanti Datta Assistant Professor, Department of Medicine, Dhaka Medical College, Dhaka

DOI:

https://doi.org/10.3329/jdmc.v28i2.51158

Keywords:

Dengue, Clinical features, Presenting features, Changes, New Serotype, Dhaka, Bangladesh.

Abstract

Dengue fever first identified as ‘Dhaka Fever’ in 1964 & became endemic around 2000. The most recent spreading of dengue in 2019 was also notable for change in the presenting features of the patients attributed by some to the fact that causative virus might be of different serotype. Our study aims to assess the current pattern of presentation of dengue virus infection, done in inpatient of Department of Medicine of Dhaka Medical College Hospital Dhaka. This was a crosssectional, observational, descriptive study conducted between 1st August and 30th September 2019. A total 70 subjects, age >12 years were included in this study. Among them 55 were male & 15 were female, with a mean age of 28.33(±12.15) years. Comorbidities noticed in few cases such as DM (2, 2.90%), HTN (3, 4.35%), IHD (1,1.45%), CKD & COPD (1,1.45%). The most common presentation were fever (64, 91.43%), headache (62, 88.57%) anorexia (59, 85.51%), generalised pain (51, 73.91%), nausea (49, 71.01%). Examination findings at admission were temperature was high but not very high, pulse were normal, both systolic & diastolic pressure were somewhat normal, among the warning signs, severe abdominal pain (27.54%), persistent vomiting (21.74%), lethargy /restlessness /sudden behavioural change (21.74%) were most common. The common haematological parameters & routine investigation values were not deviated from expected range. As dengue is likely to continue to constitute a serious public health problem in Bangladesh, this study may help the practitioners to understand the changing pattern & to manage patients accordingly.

J Dhaka Medical College, Vol. 28, No.2, October, 2019, Page 199-207

Downloads

Download data is not yet available.
Abstract
165
PDF
152

Downloads

Published

2021-01-05

How to Cite

Rahman, M., Hasan, P., Farheen, T., Islam, M. K., Rashid, M. H. U., Haque, M. M., Faruq, I., Chowdhury, J. A., & Datta, P. K. (2021). Pattern of Presentation and Organ Involvement in Dengue Fever at Dhaka Medical College Hospital. Journal of Dhaka Medical College, 28(2), 199–207. https://doi.org/10.3329/jdmc.v28i2.51158

Issue

Section

Original Articles