scholarly journals Dengue Typhoid Co-infection: a New Threat

2019 ◽  
Vol 10 (1) ◽  
pp. 96-97
Author(s):  
Md Mahmudur Rahman Siddiqui ◽  
Quazi Tarikul Islam ◽  
Mohammad Shahidul Islam
Keyword(s):  
Public Health ◽  
Developing Countries ◽  
Typhoid Fever ◽  
Dengue Fever ◽  
Clinical Diagnosis ◽  
Clinical Presentation ◽  
Febrile Illness ◽  
Acute Febrile Illness ◽  
Medical College ◽  
Common Clinical Presentation

Acute febrile illness is the most common clinical presentation among patients attending to doctor in developing countries. In Bangladesh, dengue and typhoid fever have emerged as major public health problems. Co-infection with both these diseases is rarely reported and are known to present with overlapping symptoms making the clinical diagnosis difficult. The exact incidence of dengue and typhoid co-infection is not known. Here we report a case of co-infection of dengue fever with typhoid fever. Anwer Khan Modern Medical College Journal Vol. 10, No. 1: Jan 2019, P 96-97

scholarly journals Leptospirosis in febrile patients with suspected diagnosis of dengue fever

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Juana del Valle-Mendoza ◽  
Carlos Palomares-Reyes ◽  
Hugo Carrillo-Ng ◽  
Yordi Tarazona-Castro ◽  
Sungmin Kym ◽  
...  
Keyword(s):  
Dengue Virus ◽  
Dengue Fever ◽  
Clinical Diagnosis ◽  
Clinical Symptoms ◽  
Febrile Illness ◽  
Study Groups ◽  
Acute Febrile Illness ◽  
Serum Samples ◽  
Northern Peru ◽  
Suspected Diagnosis

Abstract Objective This study was carried out to determine the prevalence of leptospirosis among febrile patients with a suspicious clinical diagnosis of dengue fever in northern Peru. Results A total of 276 serum samples from patients with acute febrile illness (AFI) and suspected diagnosis for dengue virus (DENV) were analyzed. We identified an etiological agent in 121 (47.5%) patients, DENV was detected in 30.4% of the cases, leptospirosis in 11.2% and co-infection by both pathogens was observed in 5.9% of the patients. In this study the most common clinical symptoms reported by the patients were: headache 89.1%, myalgias 86.9% and arthralgias 82.9%. No differences in symptomatology was observed among the different study groups.

scholarly journals Differentiating Scrub Typhus, Dengue Fever and Typhoid Fever in Indian Children Presenting with Acute Febrile Illness

2020 ◽  
Vol 40 (2) ◽  
pp. 93-99
Author(s):  
Saheli Misra Chatterjee ◽  
Suman Mondal ◽  
Kaushik Mukhopadhyay ◽  
Niloy Kumar Das
Keyword(s):  
Dengue Fever ◽  
Scrub Typhus ◽  
Tertiary Care ◽  
Febrile Illness ◽  
Acute Febrile Illness ◽  
Indian Children ◽  
Diagnostic Dilemma ◽  
Female Ratio ◽  
Neutrophil Lymphocyte Ratio ◽  
Lymphocyte Ratio

Introduction: The disease spectrum of dengue, scrub typhus and typhoid presenting as acute febrile illness is often a diagnostic dilemma to the clinician. The purpose of this study is to compare the clinical features and laboratory parameters of children suffering from typhoid, dengue and scrub typhus and use these parameters in early identification of scrub typhus before conclusion is made from serological diagnosis. Methods: A retrospective observational analytical study was conducted among children presenting with acute febrile illness in a tertiary care level hospital. Over the period of one year 113 cases were identified of which 39 were dengue, 44 were typhoid and 30 were scrub typhus. Results: The mean age of the children was 7.45 ± 2.98 years, median was eight with an interquartile range of six to ten years. The male to female ratio was 1.3:1. Symptoms of vomiting (61.54%), headache (46.15%) and hepatomegaly (47.37%) were significantly higher among children with dengue fever. A significantly higher number of children with scrub typhus fever had temperature above 40°C. The incidence of low haemoglobin, raised C reactive protein, raised ALT and low albumin levels were significantly higher in them. Children with acute febrile illness having temperature > 40°C, absolute neutrophil/lymphocyte ratio > 2 early in the illness were more likely to suffer from scrub typhus with relative probability ratio (RPR) of 25.68 and 10.57 respectively (p < 0.001). Children with WBC < 5000/mm3 were more likely to be suffering from dengue with RPR of 10.60 (p < 0.001). Conclusion: Children with acute febrile illness with temperature > 40°C and absolute neutrophil/lymphocyte ratio > 2 early in the illness were more likely to be suffering from scrub typhus.

scholarly journals Culture proven Salmonella typhi co-infection in a child with Dengue fever: a case report

2015 ◽  
Vol 9 (09) ◽  
pp. 1033-1035 ◽  
Author(s):  
Rangan Srinivasaraghavan ◽  
Parameswaran Narayanan ◽  
Thandapani Kanimozhi
Keyword(s):  
Risk Factors ◽  
Developing Countries ◽  
Case Report ◽  
Infectious Diseases ◽  
Typhoid Fever ◽  
Dengue Fever ◽  
Salmonella Typhi ◽  
Infectious Agents ◽  
Dengue Outbreak ◽  
Concurrent Infections

Infectious diseases are one of the major causes of morbidity and mortality in developing countries. Sometimes concurrent infections with multiple infectious agents may occur in one patient, which make the diagnosis and management a challenging task. The authors here present a case of co-infection of typhoid fever with dengue fever in a ten-year-old child and discuss the pertinent issues. The authors emphasize that the risk factors predicting the presence of such co-infections, if developed, will be immensely useful in areas where dengue outbreak occurs in the background of high transmission of endemic infections.

Using Clinical Profiles and Complete Blood Counts to Differentiate Causes of Acute Febrile Illness during the 2009–11 Outbreak of Typhoid and Chikungunya in a Dengue Endemic Area

2020 ◽  
Vol 66 (5) ◽  
pp. 504-510
Author(s):  
Kamolwish Laoprasopwattana ◽  
Wannee Limpitikul ◽  
Alan Geater
Keyword(s):  
Typhoid Fever ◽  
Predictive Value ◽  
Nonstructural Protein ◽  
Specific Treatment ◽  
Febrile Illness ◽  
Acute Febrile Illness ◽  
Negative Results ◽  
Nonstructural Protein 1 ◽  
Clinical Profiles ◽  
Complete Blood Counts

Abstract Background and aims After the 2009–11 outbreak of typhoid and chikungunya (CHIK) in Thailand, an effort was made to use complete blood counts and clinical profiles to differentiate these diseases to facilitate earlier specific treatment. Methods Patients aged 2–15 years having fever on first visit ≤3 days without localizing signs were enrolled retrospectively. Typhoid fever was confirmed by hemoculture, dengue by nonstructural protein-1 or polymerase chain reaction (PCR), and CHIK by PCR. Febrile children with negative results for these infections were classified as other acute febrile illness (AFI). Results Of the 264 cases, 56, 164, 25 and 19 had typhoid fever, dengue viral infection (DVI), CHIK and other AFI, respectively. Arthralgia had sensitivity, specificity, positive predictive value (PPV) and negative predictive value of 0.96, 0.97, 0.80 and 0.99, respectively, to differentiate CHIK from the others. After excluding CHIK by arthralgia, the PPV of the WHO 1997 and 2009 criteria for DVI increased from 0.65 and 0.73 to 0.95 and 0.84, respectively. Children with one of myalgia, headache or leukopenia had sensitivity of 0.84, specificity of 0.76 and PPV of 0.92 to differentiate DVI from typhoid and other AFIs. Patients with one of abdominal pain, diarrhea or body temperature &gt;39.5°C were more likely to have typhoid fever than another AFI with PPV of 0.90. Conclusion Using this flow chart can help direct physicians to perform more specific tests to confirm the diagnosis and provide more specific treatment. Nevertheless, clinical follow-up is the most important tool in unknown causes of febrile illness.

scholarly journals Antimicrobial susceptibility pattern for Salmonella Typhi isolated from blood in Shaheed Suhrawardy Medical College, Dhaka

2019 ◽  
Vol 10 (2) ◽  
pp. 96-98 ◽  
Author(s):  
Mst Naznin Tarana ◽  
Samshad Jahan Shumu ◽  
Rashida Akter Khanam ◽  
Hosne Jahan ◽  
Soma Sarker ◽  
...  
Keyword(s):  
Public Health ◽  
Typhoid Fever ◽  
Salmonella Typhi ◽  
Health Concern ◽  
Public Health Concern ◽  
Salmonella Spp ◽  
Sensitivity Testing ◽  
Female Ratio ◽  
Medical College ◽  
Sensitivity Pattern

Background: Typhoid fever remains a public health concern in developing countries. Antibiotic therapy constitutes the mainstay of management and multidrug resistant Salmonella spp has been emerged as a major public health concern. Objective: This study was done to evaluate antimicrobial sensitivity pattern of Salmonella typhi isolated from blood in Shaheed Suhrawardy Medical College Hospital. Methods: The retrospective study was done from January 2017 to December 2017 at microbiology laboratory, Shaheed Suhrawardy Medical College. A total of 367 samples, 30 isolates of Salmonella typhi obtained from blood culture. Both the indoor and outdoor patients were enrolled in this study. Results: During one year study period, total 367 cases were enrolled and the prevalence of Salmonella typhi was 30 (8.2 %). Among them (56.1%) were male with a male to female ratio 1.27:1. The bulk (50.1%) cases were in the age group of 15-30 years, 14.4% cases were in less than 15 years and 6.5% cases were in more than 60 years of age. Regarding antibiotic sensitivity pattern, 70% strains were sensitive to amikacin, 73.33% to azithromycin, 63.33% to ceftazidime, 66.66% to ceftriaxone, 86.66% to ciprofloxacin and 70% were nalidixic acid resistant Salmonella typhi. Conclusion: Ciprofloxacin may be used to treat typhoid fever cases and Ceftriaxone, azithromycin may be used as alternative drugs if they are found susceptible in culture and sensitivity testing. J Shaheed Suhrawardy Med Coll, December 2018, Vol.10(2); 96-98

scholarly journals Incidental Detection of Dent-2 Disease in an Infant with Febrile Proteinuria

2018 ◽  
Vol 27 (4) ◽  
pp. 392-395 ◽  
Author(s):  
Shpetim Salihu ◽  
Katerina Tosheska ◽  
Svetlana Cekovska ◽  
Velibor Tasic
Keyword(s):  
Molecular Weight ◽  
Sodium Dodecyl Sulfate ◽  
Clinical Presentation ◽  
Viral Infections ◽  
Sodium Dodecyl ◽  
Febrile Illness ◽  
Low Molecular Weight ◽  
Acute Febrile Illness ◽  
Low Molecular Weight Proteinuria ◽  
Sds Page

Objective: Febrile proteinuria is functional proteinuria and is seen as a transitory phenomenon during acute febrile illness, mainly viral infections. It is a benign phenomenon and clears promptly with resolution of the infection. Clinical Presentation and Intervention: In this report, we present a patient who was thought to have febrile proteinuria. Persistence of significant proteinuria after resolution of the infection prompted biochemical and genetic workup which led to the diagnosis of Dent-2 disease. Conclusion: We recommend the use of SDS-PAGE (sodium dodecyl sulfate electropheresis) for the detection of low molecular weight proteinuria.

scholarly journals Prevalence and epidemiological aspect of dengue fever in western Rajasthan in year 2018

2019 ◽  
Vol 7 (10) ◽  
pp. 3735
Author(s):  
Varun Kothari ◽  
Laxmi Rathore ◽  
P. K. Khatri ◽  
Saroj Meena
Keyword(s):  
Public Health ◽  
Dengue Fever ◽  
Tertiary Care ◽  
Health Problems ◽  
Immunoglobulin M ◽  
Test Method ◽  
Poor People ◽  
Structural Protein ◽  
Medical College ◽  
Epidemiological Characteristics

Background: Dengue fever (DF) is a common mosquito borne disease caused by dengue virus and is transmitted by Aedes mosquito. It is one of the major public health problems in India which affects all levels of society, but the burden of disease is a higher in poor people who live together in communities.  Aim of present study is aimed to assess the prevalence and epidemiological characteristics of cases of DF in  Tertiary Care Hospitals in Jodhpur, Rajasthan.Methods: A cross-sectional study was conducted in all cases of DF registered in the associated group of Hospitals of Dr. S.N. Medical College, Jodhpur from 1st January 2018 to 31st December 2018. Rapid immune-chromatographic card test and MAC ELISA test method was used to detect dengue non-structural protein 1 (NS1) antigen and dengue immunoglobulin M (IgM) antibodies in the Viral Research Diagnostic Laboratory (VRDL) of Department of Microbiology, Dr. S.N. Medical College to confirm the diagnosis. Results: Out of 2701 patients, 541 patients were tested serologically positive for DF (NS1, IgM). The highest number of suspected cases (1061) was reported in the month of October, 2018 out of whom 228 were positive. Maximum number of dengue cases reported were males belonging to 31-40 years age group from urban area. Fever was the main complaint in all the cases followed by vomiting, headache, and abdominal pain.Conclusion: Dengue is one of the major public health problems in India. A large number of cases are reported in the monsoon and post-monsoon period in the months from  September to December. Measures can be taken both at personal and government level to reduce morbidity and mortality from dengue.

scholarly journals The Revelations of Acute Kidney Injury in Cases of Acute Febrile Illness – A Hospital Based Observational Study from North Eastern India

2020 ◽  
Vol 2 (1) ◽  
Keyword(s):  
Acute Kidney Injury ◽  
Serum Creatinine ◽  
Urine Volume ◽  
Kidney Injury ◽  
Febrile Illness ◽  
Hospitalized Patients ◽  
Acute Febrile Illness ◽  
Medical College ◽  
Definition Of ◽  
Unexpected Outcome

Background: Clinicians across the globe refer to the published KDIGO definition of Acute Kidney Injury (AKI) as one of the following: • An increase in serum creatinine by ≥0.3 mg/dl (≥26.5 µmol/l) within 48 hrs • An increase in serum creatinine to ≥1.5 times baseline within the previous 7 days • Urine volume <0.5 ml/kg/h for 6 hrs Acute febrile illnesses are a common cause of AKI in hospitalized patients. The present study was undertaken to evaluate the incidence of AKI in patients presenting with acute febrile illness and also study the different etiological factors responsible for acute febrile illness. Materials and Methods: The study included 200 patients of acute febrile illness admitted in Silchar Medical College And Hospital in the Department of Medicine over a period of 24 months. The data regarding the various causes such as the etiology of fever, kidney function tests and other parameters of the cases were obtained and analyzed using simple statistical methods. Results and Observations: A total of 52 patients (26%) with acute febrile illness due to etiologies like Leptospirosis, Falciparum Malaria, Enteric fever, Dengue, Scrub Typhus, and mixed Malaria, etc developed AKI out of the 200 admitted cases presenting with acute febrile illness. Conclusion: The incidence of AKI is common in hospitalized patients of acute febrile illness and a thorough evaluation and detailed clinicobiochemical monitoring of the patients are necessary as it has varied etiology and often lead to an unfavorable or even unexpected outcome.

scholarly journals Redefining typhoid diagnosis: what would an improved test need to look like?

2019 ◽  
Author(s):  
Richard Mather ◽  
Heidi Hopkins ◽  
Christopher M. Parry ◽  
Sabine Dittrich
Keyword(s):  
Typhoid Fever ◽  
Diagnostic Test ◽  
Clinical Medicine ◽  
Point Of Care ◽  
Treatment Algorithm ◽  
Febrile Illness ◽  
Diagnosis And Treatment ◽  
Acute Febrile Illness ◽  
Next Generation ◽  
Antibiotic Overuse

IntroductionTyphoid fever is one of the most common bacterial causes of acute febrile illness in the developing world, with an estimated 10.9 million new cases and 116.8 thousand deaths in 2017. Typhoid point-of-care (POC) diagnostic tests are widely used but have poor sensitivity and specificity, resulting in antibiotic overuse that has led to the emergence and spread of multidrug resistant strains. With recent advances in typhoid surveillance and detection, this is the ideal time to produce a target product profile (TPP) that guides product development and ensure that a next-generation test meets the needs of users in the resource-limited settings where typhoid is endemic.MethodsA structured literature review was conducted to develop a draft TPP for a next-generation typhoid diagnostic test with minimal and optimal desired characteristics for 36 test parameters. The TPP was refined using feedback collected from a Delphi survey of key stakeholders in clinical medicine, microbiology, diagnostics and public and global health.ResultsA next-generation typhoid diagnostic test should improve patient management through the diagnosis and treatment of infection with acute Salmonella enterica serovars Typhi or Paratyphi with a sensitivity ≥90% and specificity ≥95%. The test would ideally be used at the lowest level of the healthcare system in settings without a reliable power or water supply and provide results in less than 15 minutes at a cost of <$1.00 USD.ConclusionThis report outlines the first comprehensive TPP for typhoid fever and is intended to guide the development of a next-generation typhoid diagnostic test. An accurate POC test will reduce the morbidity and mortality of typhoid fever through rapid diagnosis and treatment and will have the greatest impact in reducing antimicrobial resistance if it is combined with diagnostics for other causes of acute febrile illness in a treatment algorithm.

scholarly journals Ischemic stroke following Dengue fever: A case report

2015 ◽  
Vol 7 (2) ◽  
pp. 107-108 ◽  
Author(s):  
Robin George Manappallil
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Gastrointestinal Bleeding ◽  
Dengue Fever ◽  
Intracranial Haemorrhage ◽  
Febrile Illness ◽  
Severe Headache ◽  
Acute Febrile Illness ◽  
Medical Sciences ◽  
Elderly Male

Dengue fever is an acute febrile illness associated with severe headache, myalgias, arthralgias, rashes, leucopenia and thrombocytopenia. Occasionally unusual haemorrhage such as gastrointestinal bleeding, intracranial haemorrhage, hypermenorrhoea, hematuria and massive epistaxis occur. This is a case of an elderly male with dengue fever who presented with ischemic stroke.  Asian Journal of Medical Sciences Vol.7(2) 2015 107-108

Sign in / Sign up

Export Citation Format

Share Document