Volume 31

Number 2 July 2019

Dengue 2019 — A change in perspective of clinical presentations and laboratory finding

DOI: https://doi.org/10.47648/jmsr.2019.v3102.05

Ahmad SN1 , Anisujjaman QM2 , Sakib N3 , Fatemi OF4 , Rabin F5 , Kamal AHM6

Abstract

Dengue is known primarily to be a disease of the monsoon season, and following that a post monsoon disease. Fever along with rash, ntyalgia and headaches were wry typical of the disease. However, since 2014, these trends have been changing in Bangladesh, with eases being reported in the premonsoon season. This cross sectional observational study was rried out from Januaty 2019 to July 2019 at Holy Family Red Crescent Medical College Hospital.ca 100 hundred patients who were serologically positive either by Dengue NS1 antigen or by Dengue 1gM antibody were conveniently taken in the study and their features and investigations (laboratory and ultrasonography) were noted. These findings were also compared with 100 dengue patients who were studied in 2013 in the same institute. Changes in the presenting features were noted; while fever was found to be present 100% in both years, aches and pains were prominently less in 2019 as compared to 2013 (headache, retro orbital pain, backache 23% vs 90%; 3% vs 45%; I% vs 48% respectively). Rashes and itching were also found to be less in 2019 as compared to 2013 (4% vs 16%; I% vs 30% respectively). On the other hand, gastrointestinal symptoms like nausea and vomiting were more in 2019 (51% vs 30% respectively). Similarly, on imaging, there appeared to be more evidence of plasma leakage as seen with (mites, pleural effusion and thickened gallbladder compared to 2013; leucopenia was noted to be less in 2019 (45% vs 60%), but thrombocytopenia < 50,000/L was more in 2019 (49% vs 25%). Although the patients reflect a small section of society, it is quite evident that there is a shift in the pattern of dengue presentation, both in their features and imaging.

Keywords:


  1. Assistant Professor of Medicine

    Holy Family Red Crescent Medical College, Dhaka

  2. Senior Consultant and Head of Interventional Cardiology, Cardiac Care Unit

    Khulna City Medical College Hospital. Khulna

  3. Intern Doctor, Department of Medicine

    Holy Family Red Crescent Medical College, Dhaka

  4. Intern Doctor, Department of Medicine

    Holy Family Red Crescent Medical College, Dhaka

  5. Associate Professor and Head of Psychiatry

    Holy Family Red Crescent Medical College, Dhaka

  6. Professor and Head of Medicine

    Holy Family Red Crescent Medical College, Dhaka

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Volume 31, Number 2 July 2019
Page: 28-31