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- Title
Changing Clinical Pattern of Dengue Fever and Its Unusual Manifestations-9 2019 Outbreak in Dhaka, Bangladesh.
- Authors
ISLAM, Q. T.; SAGOR, H. B.; TULI, T. C.; NOOR, F. M.; ISLAM, M. M.
- Abstract
Background: In 2019 Bangladesh faced largest outbreak of Dengue fever (DF) and clinicians observed some changing patterns in presentation and laboratory findings of DF. This study intends to find the changing patterns of dengue and its different manifestations including unusual one. Results: Among 220 dengue serologically positive cases, the most common age group affected was 18-49 years (68.6%). Regarding the known common features like fever (91.8%), vomiting (50.2%), headache (48.2%), were frequent among the patients but myalgia (19.6%), rash (14.5%), retro orbital pain (14.1%) were not so common. Presence of unusual features like abdominal pain (49.3%), loose motion (55%) and cough/breathlessness (41.4%) ascites (53.2%), pleural effusion (51.8%), hepatomegaly (32.3%), peri-gallbladder edema (35.5%) and splenomegaly (15.1%) were also common among dengue patients. Serum Lipase was also increased in (28.8%) cases suggesting pancreatitis. Conclusion: Unusual Manifestations of dengue fever is common. As the spread of dengue is increasing with significant morbidity and mortality, it is extremely important for the clinicians to know about its unusual manifestations.
- Subjects
BANGLADESH; DENGUE; DENGUE hemorrhagic fever; MEDICAL personnel; ABDOMINAL pain; PLEURAL effusions; HEPATOMEGALY
- Publication
Journal of Bangladesh College of Physicians & Surgeons, 2021, Vol 39, Issue 1, p9
- ISSN
1015-0870
- Publication type
Article
- DOI
10.3329/jbcps.v39i1.50457