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

2021 ◽  
Vol 28 (2) ◽  
pp. 199-207
Author(s):  
Motlabur Rahman ◽  
Pratyay Hasan ◽  
Tanjina Farheen ◽  
Md Khairul Islam ◽  
Md Harun Ur Rashid ◽  
...  
Keyword(s):  
Dengue Fever ◽  
Diastolic Pressure ◽  
Behavioural Change ◽  
Public Health Problem ◽  
Warning Signs ◽  
Medical College Hospital ◽  
College Hospital ◽  
Persistent Vomiting ◽  
Medical College ◽  
High Pulse

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

scholarly journals Clinico-epidemiological profile of dengue cases in a Medical College Hospital, Bengaluru, Karnataka, India

2017 ◽  
Vol 4 (4) ◽  
pp. 928 ◽  
Author(s):  
Srividya V. ◽  
Kruthika N.
Keyword(s):  
Dengue Fever ◽  
Warning Signs ◽  
Medical College Hospital ◽  
Severe Dengue ◽  
Dengue Case ◽  
College Hospital ◽  
Good Opportunity ◽  
Pediatric Ward ◽  
Medical College ◽  
Epidemiological Features

Background: Medical college hospital being a tertiary care center receives a significant number of dengue cases from within and outside the catchment area and provides a good opportunity to study the clinical and epidemiological features of dengue infection, its prognosis and outcome so as to institute prompt preventive and control measures. The objective was to describe the clinico-epidemiological features of dengue cases admitted to pediatric ward at a Medical College Hospital, Bengaluru, Karnataka, India.Methods: Cross-sectional study of 140 cases positive for NS1Ag, IgM and/or IgG by dengue rapid immuno-chromatographic card test, admitted in pediatric ward during June to August 2013 at Rajarajeswari Medical College and Hospital.Results: Majority of the patients were from rural area. Fever was present in all 140 cases. Vomiting followed by headache were the common presenting symptoms. Of the 140, 50% cases were classified as dengue fever without warning signs, 46.4% as dengue fever with warning signs and 3.6% as severe dengue. Thrombocytopenia was present in 77.1%, leucopenia in 47.9%, and raised haematocrit in 52.1% of cases. Mortality rate was 0.71%.Conclusions: Children above 5 years of age were most commonly affected age group. About 5 (3.6%) of the patients belonged to severe dengue category according to revised WHO Dengue Case Classification.

scholarly journals Clinical Presentation of Dengue in 150 Admitted Cases in Dhaka Medical College Hospital

1970 ◽  
Vol 7 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Md Abul Kalam Azad ◽  
Hanif Mohammad ◽  
Md Billal Alam ◽  
Anup Kumar Saha ◽  
Tofayel Ahmed
Keyword(s):  
Dengue Fever ◽  
Prospective Observational Study ◽  
Health Hazard ◽  
Dengue Shock Syndrome ◽  
Hemorrhagic Fever ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
Group 3 ◽  
Group 2

Dengue fever was not recognized as a major public health hazard in Bangladesh before 1999 outbreak, so there was little evidence and awareness in this regard. A prospective observational study was carried out to determine the risk group of patients suffering from dengue syndrome; clinical parameters of the subjects for hospitalization and the pattern of presentation of dengue fever in hospital care in different medicine units of Dhaka Medical College hospital from July 2000 to March 2001. Total 150 cases were selected randomly and diagnosed clinically as dengue, and were classified into 3 groups, i.e. 18 cases of classical dengue fever, 127 cases of dengue hemorrhagic fever (DHF-I and DHF-II) and 5 cases of dengue shock syndrome (DSS), and were discharged uneventfully. Among them 125(83.3%) were male and 25(16.7%) were female. Mean ages of the subjects were 26.75 ±3.69, 27.59 ± 1.18 and 10.67 ± 2.33 years in respective groups. Mean temperature was 103.45±0.28, 103.08±0.13, and 104.00±1.00 °F with mean duration was 5.50±0.51 days, 6.12±0.2 days, and 5.00±1.15 in respective groups. Majority had profound weakness, headache, myalgia, anorexia, nausea, and vomiting. Diarrhoea, abdominal pain, organomegaly, ascites, and pleural effusion were frequent complaints in group-3 patients, whereas infrequent complaints in other groups. Haemorrhagic manifestations were common in group 2 and 3 patients, melaena being the most common manifestations.   DOI = 10.3329/jom.v7i1.1355 J MEDICINE 2006; 7: 3-9

scholarly journals Pattern Of Different Eczema Among Outdoor Patients Attended Faridpur Medical College Hospital, Faridpur, Bangladesh

1970 ◽  
Vol 5 (2) ◽  
pp. 53-55
Author(s):  
ARS Ahmed ◽  
AKMS Islam ◽  
SK Sarkar ◽  
A Mia
Keyword(s):  
Atopic Dermatitis ◽  
Public Health Problem ◽  
Hand Eczema ◽  
Medical College Hospital ◽  
Outpatient Department ◽  
College Hospital ◽  
Female Ratio ◽  
Seborrhoeic Dermatitis ◽  
Medical College ◽  
Eczematous Dermatitis

Eczematous dermatitis is very common in our country and all over the world. The aim of current study was to assess the burden, frequency and pattern of different eczema at outpatient department of Faridpur Medical College Hospital in the year 2009. Retrospective data were collected from medical records of patient. Patients of all ages & both sexes attending at the dermatology outpatient department of Faridpur Medical College Hospital in the year 2009 suffering from different eczema were included in this study. The frequency of eczema among patients attending at outpatient department of Faridpur Medical College Hospital was 12.8%, and the male to female ratio was almost 1:1. The most affected age group among patients was 0-5 years. Of all cases of eczema, 77.05% were endogenous and 22.52% were exogenous. The most common type of eczema was seborrhoeic dermatitis (27.17% of all cases), followed by contact dermatitis (20.00%) and Hand eczema (14.18%). Seborrhoeic dermatitis is commonest in young adult (21- 45 yrs), whereas atopic dermatitis is common in infant and children (0-10 yrs). Eczema is a public health problem in Faridpur, Bangladesh, and this necessitates prospective studies to determine its incidence and prevalence. Key words: Eczema; Atopic dermatitis; Faridpur DOI: 10.3329/fmcj.v5i2.6822Faridpur Med. Coll. J. 2010;5(2):53-55

scholarly journals Organophosphorus Compounds Poisoning: Picture in Rangpur Medical College Hospital, Bangladesh

2014 ◽  
Vol 26 (1) ◽  
pp. 46-48
Author(s):  
Devendra Nath Sarkar ◽  
Md Ismail Hossain ◽  
Mainuddinin Ahmed ◽  
AKM Shaheduzzaman ◽  
Nur Mohammad
Keyword(s):  
Rural Areas ◽  
Organophosphorus Compounds ◽  
Public Health Problem ◽  
Educational Background ◽  
Cross Sectional Study ◽  
Medical College Hospital ◽  
Major Public Health Problem ◽  
College Hospital ◽  
Cross Sectional ◽  
Medical College

Organophosphorus compounds (OPC) poisoning is a major public health problem in low and middle income countries. The incidence varies from country to country depending on easy availability of poison, socio-economic condition and educational background of the people. This study aimed to determine the frequency, outcome and aetiological aspect of OPC poisoning patient admitted in Rangpur medical college hospital. It was a cross sectional study carried out in the department of Medicine, Rangpur medical college hospital from 1st December 2011 to 30th November, 2012. During the study period a total of 703 patients have been studied. The most of the patients were between the age of 18- 40 years (91.9%), male (51.6%), married (71.3%) and from rural areas (67.8%). People of different occupations were involved in OPC poisoning, house-wives were the maximum (33.6%) followed by farmers (31.7%). 92% cases were suicidal and 8% accidental. Familial disharmony was the prime cause (92.3%) of suicidal motive. 88% of the patients were survived and 5% died. OPC poisoning is an important health care problem in our country. Improved awareness, restricting availability and banning more toxic organophosphorus compounds will reduce the incidence of OPC poisoning. DOI: http://dx.doi.org/10.3329/medtoday.v26i1.21313 Medicine Today 2014 Vol.26(1): 46-48

scholarly journals Clinical features & outcome of dengue cases at a tertiary care centre

2021 ◽  
Vol 53 (1-2) ◽  
pp. 3-7
Author(s):  
Md Nazrul Islam ◽  
Sabikun Nahar Chowdhury ◽  
SK Moazzem Hossain ◽  
Arina Shorani Mousi
Keyword(s):  
Tertiary Care ◽  
Public Health Problem ◽  
Clinical History ◽  
Complete Recovery ◽  
Medical College Hospital ◽  
Tertiary Care Centre ◽  
College Hospital ◽  
Medical College ◽  
Atypical Manifestations ◽  
Detailed Clinical History

Background: Dengue is a very common seasonal public health problem causing significant mortality every year. In 2019 an outbreak occurred in Bangladesh. Few new manifestations and multi organ involvement were found. Objective: The objective of the study was to see the clinical and laboratory manifestations and outcome of dengue fever in a medical college hospital. Methods: It was an observational study in a medical college hospital in Bangladesh. Study period was one year. The patients were confirmed cases of dengue. Apart from detailed clinical history, examination of patient, relevant investigations and follow up was done until discharge. Result: Total number of cases was 98. Out of them 62 (63.2%) were male and 36 (36.73%) were female. Fever was most common (100%) manifestation and duration of fever ranged from 5 to 8 days with a mean duration of 6.3 (± 1.0) days. Among other symptoms generalized body ache was most common (63, 64.3%). Generalized weakness was present in 60 cases (61.2% cases) Bleeding manifestations was present in 41 cases; abdominal manifestations were found in 11 cases. Blood for NSI was positive in 94 (95.9%) cases; most cases (71, 72.4%) became positive between 2nd to 4th day. Ninety (91.9%) cases developed thrombocylopcnia and it started at 5th day in 45 (45.9%) cases. Blood transfusion was given in 12 (12.2%) cases & Platelet transfusion was given in 3 (3.1%) cases. Complete recovery was in 96 (98%) cases and Death occurred in 2 (2.0%) cases. Conclusion: Bleeding was a dominant presentation. Some atypical manifestations like gastro intestinal features were also observed. These findings will help physicians in early diagnosis of dengue. Bang Med J Khulna 2020: 53 : 3-7

scholarly journals Sera-epidemiology of Dengue Virus Infection in Clinically Suspected Patients Attended in Dhaka Medical College Hospital During January to December 2016

2018 ◽  
Vol 26 (2) ◽  
pp. 111-116
Author(s):  
Monira Pervin ◽  
Afroza Akbar Sweety ◽  
Mohammad Zaid Hossain ◽  
Rabeya Sharmin ◽  
Nusrat Fatema ◽  
...  
Keyword(s):  
Virus Infection ◽  
Dengue Virus ◽  
Dengue Fever ◽  
Clinical Manifestations ◽  
Medical College Hospital ◽  
Dengue Virus Infection ◽  
College Hospital ◽  
Medical College ◽  
Igm Antibody ◽  
Orbital Pain

Introduction: Dengue is now established as one of the most important Arboviral infection in tropical countries. As the epidemic continues worldwide, this Aedes mosquito-transmitted pathogen is considered a major re-emerging tropical disease and significant public health concern. The study was conducted to determine the sero-epidemiology and clinical picture of dengue virus infection among the clinically suspected patients attended in Dhaka Medical College Hospital during January to December 2016.Materials and Methods: The study was carried out on 145 clinically suspected Dengue patients attended in Dhaka Medical College Hospital from January to December 2016 who had fever with temperature >39°C. Blood sample was collected during acute febrile phase of patients and separated sera were tested for NS1 dengue antigen and IgM antibodies using commercial test kits (NS1 by OMC Healthcare (Pvt.) Ltd & IgM antibody by Omega Diagnostics Ltd.).Results: Of the total 145 patients 40 (27.6%) were positive for Dengue NS1 antigen and or IgM antibody test. Of the positive 40 patients, 18 (45%) were positive for NS1, 19 (47.5%) were positive for IgM and 3 (7.5%) were positive for both NS1 and IgM antibody. Major clinical manifestations were fever with arthralgia (79.5%) and retro-orbital pain (50%).Conclusion: Outbreak of Dengue fever is continuing every year and typical presentation of Dengue fever has changed. Arthralgia and retro orbital pain was the most common clinical feature in the present study instead of headache and rash with fever. A large number of suspected dengue cases were negative by Dengue tests for antigen NS1 and IgM antibody which suggests other organisms of similar clinical manifestations are becoming prevalent in Dhaka city.J Dhaka Medical College, Vol. 26, No.2, October, 2017, Page 111-116

scholarly journals Understanding of Diabetes among Nurses in a Teaching Hospital of Bangladesh

2018 ◽  
Vol 29 (1) ◽  
pp. 10-15
Author(s):  
Md Nure Alom Siddiqui ◽  
Shahnaj Sultana ◽  
MMR Khan ◽  
MK Rahman ◽  
MN Islam
Keyword(s):  
Diabetes Mellitus ◽  
Chronic Disease ◽  
Clinical Features ◽  
Diabetes Management ◽  
Health Workers ◽  
Public Health Problem ◽  
Medical College Hospital ◽  
World Health ◽  
College Hospital ◽  
Medical College

Objective: Diabetes mellitus is a growing public health problem in the world. Health education by health workers is a key factor in the prevention of this chronic disease. The objective of the study was to determine nurses understanding of diabetes mellitus.Methodology: This was a cross-sectional descriptive study carried out at Rajshahi Medical College hospital from August 2010 to February 2011. Registered nurses were questioned about the clinical features, diagnosis, complications and management of diabetes mellitus. The results were analyzed using appropriate statistical method.Results: A total of 86 nurses completed the questionnaire. Majorities were below 50 years and were ward nurses. About 97.7% correctly identified the definition of diabetes mellitus (p < 0.01) and 94.2% identified <7mmol/l as the fasting plasma glucose diagnostic cut off for DM. Cent percent agreed that DM is a chronic disease (p < 0.01). Polyuria (90.3%) and polydypsia (63.7%) were the commonest clinical features of DM identified. Insulin therapy was the most common form of management identified by 67.9% of the subjects. Majority (83.2%) agreed that weight reduction is useful. About two-thirds (67.2%) identified two oral hypoglycaemic drugs while 25 (22.1%) could not identify any type of insulin. Most subjects (94.7%) could correctly identify treatment for hypoglycaemia, with 7.1% of the nurses saying that insulin can be used to treat hypoglycaemic coma. The eye (82.3%) was the most common organ identified as being complicated with DM. Less than half of the nurses could identify the symptoms of diabetic ketoacidosis while about half (50.9%) of the nurses could identify at least one symptom of diabetic ketoacidosis.Conclusion: Nurses knowledge of diabetes mellitus in Rajshahi medical college hospital is good; however, there are deficits in certain aspects of diabetes management. Organization of regular diabetes educational programmes for nurses will improve these deficiencies of knowledge.TAJ 2016; 29(1): 10-15

scholarly journals A study of clinical manifestations and complications of dengue fever in medical college hospital

2019 ◽  
Vol 7 (3) ◽  
pp. 224-230
Author(s):  
Dr. Sanjay T Patil ◽  
◽  
Dr. Virupaksha K.L ◽  
Dr. Kavyashree N. G ◽  
◽  
...  
Keyword(s):  
Dengue Fever ◽  
Clinical Manifestations ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College

Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

2020 ◽  
Vol 22 (2) ◽  
pp. 110-117
Author(s):  
Md Mahmudul Islam ◽  
Khondkar AK Azad ◽  
Md Aminul Islam ◽  
Rivu Raj Chakraborty
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tube Thoracostomy ◽  
Rib Fracture ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

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