M. Jabin, M. Mostafi, Ahmed Shahriar, Saad Bin Alamgir, Tanvir Chowdhury, Mst. Arifa Billah, Nahida Nusrat, Shatabdi Roy, Shuhanur Rahman, Golam Sarwer, Sushmita Das
{"title":"Dengue in End Stage Renal Disease Patients – A Case Series from a Tertiary Renal Centre of Bangladesh","authors":"M. Jabin, M. Mostafi, Ahmed Shahriar, Saad Bin Alamgir, Tanvir Chowdhury, Mst. Arifa Billah, Nahida Nusrat, Shatabdi Roy, Shuhanur Rahman, Golam Sarwer, Sushmita Das","doi":"10.3329/jbcps.v41i40.69723","DOIUrl":"https://doi.org/10.3329/jbcps.v41i40.69723","url":null,"abstract":"Abstract not available J Bangladesh Coll Phys Surg 2023; 41: 92-95","PeriodicalId":105305,"journal":{"name":"Journal of Bangladesh College of Physicians and Surgeons","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139225525","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dengue Vaccines: Expectations and Reality","authors":"Muhammad Abdur Rahim, M. Mostafi","doi":"10.3329/jbcps.v41i40.69718","DOIUrl":"https://doi.org/10.3329/jbcps.v41i40.69718","url":null,"abstract":"Abstract not available. J Bangladesh Coll Phys Surg 2023; 41: 125-126","PeriodicalId":105305,"journal":{"name":"Journal of Bangladesh College of Physicians and Surgeons","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139219557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Prevention of Dengue Deaths, Bangladesh Perspective","authors":"Md Ridwanur Rahman","doi":"10.3329/jbcps.v41i40.69670","DOIUrl":"https://doi.org/10.3329/jbcps.v41i40.69670","url":null,"abstract":"Abstract not available J Bangladesh Coll Phys Surg 2023; 41: 1-5","PeriodicalId":105305,"journal":{"name":"Journal of Bangladesh College of Physicians and Surgeons","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139219947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jishu Deb Nath, Mitu Bhowmik, Nakibul Hasan Nayem, Abdullah Al Mamun
{"title":"Concomitant Presentation of Dengue Hemorrhagic Fever with Guillain-Barré Syndrome (GBS)","authors":"Jishu Deb Nath, Mitu Bhowmik, Nakibul Hasan Nayem, Abdullah Al Mamun","doi":"10.3329/jbcps.v41i40.69721","DOIUrl":"https://doi.org/10.3329/jbcps.v41i40.69721","url":null,"abstract":"Guillain- Barre syndrome (GBS) is one of the rare complications in Dengue .We report a uncommon presentation as simultaneous onset of Dengue Haemorrhagic fever (DHF) with GBS. 29 year old student presented with bilateral weakness of lower legs after 2 days onset of fever and he was admitted and treated as DHF, Later he was diagnosed as GBS on the basis of areflexia and Nerve conduction study. He was recovered gradually and given only physiotherapy. J Bangladesh Coll Phys Surg 2023; 41: 88-91","PeriodicalId":105305,"journal":{"name":"Journal of Bangladesh College of Physicians and Surgeons","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139225475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Naznin, Md Mostafa Hossain, Quazi Sazzad Iftekhar, Tarikul Ahasan
{"title":"A Review on Epidemiology, Clinical Manifestation and Diagnostic Approach of Dengue in Bangladesh Perspective","authors":"S. Naznin, Md Mostafa Hossain, Quazi Sazzad Iftekhar, Tarikul Ahasan","doi":"10.3329/jbcps.v41i40.69716","DOIUrl":"https://doi.org/10.3329/jbcps.v41i40.69716","url":null,"abstract":"Background: Dengue is an arboviral disease caused by dengue virus; single positive stranded RNA virus of the family Flaviviridae. Symptomatic dengue infection causes a wide range of clinical manifestations; from mild dengue fever (DF) to potentially fatal disease, such as dengue hemorrhagic fever (DHF) or dengue shock syndrome (DSS). Dengue is endemic in Bangladesh with recurrent outbreak and is one of the major public health concerns in current period. Therefore; we conducted a literature review to analyze demography, epidemiology, pathogenesis, clinical feature and diagnosis of dengue virus infection. Methods: According to the PRISMA guidelines, the references were selected from PubMed, Web of Science and Google Scholar database using search strings containing a combination of terms that included ”dengue”, “Bangladesh”, “epidemiology”, “outbreak”,” pathogenesis”, “clinical manifestation”, “demography “and “diagnosis”. Quality of references was evaluated by independent contributors. Results: About 167,700 confirmed dengue cases were reported at 16’september’2023 in Bangladesh. Although dengue is endemic in Bangladesh, the current dengue surge is unusual in terms of seasonality and the early sharp increase in comparison to previous years, where the surge started around –late June. Plasma leakages are the main pathophysiological hallmark that distinguishes DHF from DF. Severe plasma leakage can result in hypovolemic shock. Various factors are thought to impact disease presentation and severity. Virus segregation in cell cultures, nucleic acid demonstration by polymerase chain reaction (PCR), and serological detection of viral antigens (such as NS1) or particular antibodies are the preferred microbiological assays for dengue detection. Currently, no specific drugs and licensed vaccines are available to treat dengue disease in any of its clinical presentations for all age group. Conclusion: Understanding the clinical manifestation of dengue infection, prompt diagnosis, appropriate treatment, active and continuous surveillance of cases and vectors are the essential determinants for dengue prevention, control and reducing fatality rate. J Bangladesh Coll Phys Surg 2023; 41: 69-81","PeriodicalId":105305,"journal":{"name":"Journal of Bangladesh College of Physicians and Surgeons","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139219132","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Demographic Profile of Patients with Dengue Fever Presented in a Tertiary Care Hospital of Bangladesh","authors":"Farzana Yasmin, Md Ashraf Uddin Ahmed","doi":"10.3329/jbcps.v41i40.69715","DOIUrl":"https://doi.org/10.3329/jbcps.v41i40.69715","url":null,"abstract":"Background: Dengue is an important tropical infection caused by an arbovirus having four serotypes (DENV-1, DENV-2, DENV-3, DENV-4) transmitted through the bite of infected female Aedes mosquito. Dengue is a challenging disease with multisystemic, varied, atypical, and sometimes life-threatening presentations. It presents as varied clinical spectrum of dengue fever (DF), dengue hemorrhagic fever (DHF), dengue shock syndrome (DSS) and expanded dengue syndrome (EDS) with atypical presentations, thus posing a diagnostic dilemma. Each year, thousands of dengue infections are reported and there are several outbreaks of dengue in several countries including Bangladesh and this imply the global importance of this infection. The objectives of this study was to determine the sociodemographic variables of patient suffering from DF during an epidemic outbreak. Methods: This hospital review analyzed the hospital records of DF cases of BIRDEM General Hospital, Dhaka from June 2019 to December 2019. Patients with suspected dengue fever attending at the outdoor/emergency or admitted indoor were taken as study subjects. Data were collected from hospital records. Study protocol was approved by the Institutional Review Board. All the relevant data regarding history and examination findings of the patients, the laboratory reports were collected. Statistical package for social science (SPSS) version 22, was used for data entry and statistical analysis. Results: Total 292 dengue patients were enrolled in this study. Mean age of all patient was 35.63±15.22 years (11-85 year) with male predominance (54.8%). Maximum patients were from urban residence (83.9%), non-smoker (73.6%), had active lifestyle (63.4%) and normal body mass index (68.5%). Overall, 65.1% patients had no comorbidity and 89.4% had no concurrent acute illness. Conclusion: Although the results of this study cannot be generalized to other cities of Bangladesh, our findings will allow public health agencies in Bangladesh to concentrate their efforts to battle against dengue. J Bangladesh Coll Phys Surg 2023; 41: 63-68","PeriodicalId":105305,"journal":{"name":"Journal of Bangladesh College of Physicians and Surgeons","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139222545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammad Ariful Islam, Mehedi Hasan, Farzana Sharmin
{"title":"Presence of Dengue Antibody in a Newborn with Maternal Peripartum Dengue Fever","authors":"Mohammad Ariful Islam, Mehedi Hasan, Farzana Sharmin","doi":"10.3329/jbcps.v41i40.69737","DOIUrl":"https://doi.org/10.3329/jbcps.v41i40.69737","url":null,"abstract":"In Bangladesh, the incidence of dengue infection continues to rise, and it has been related to severe maternal and infant morbidity during pregnancy. After presenting with an initial onset of fever at 37 weeks’ gestation, an 18-year-old pregnant woman ended up being diagnosed with dengue fever. The rapidly declining platelet count, 18,000/mm3 on the third day, necessitated a blood transfusion. On day six of her illness, while her platelet count was 23,000/mm3, she developed pre-labor rupture of membranes with labor pain. The labor became prolonged, with signs of obstruction. A prompt caesarian section was carried out under general anesthesia. She was discharged from the hospital on the 4th post-operative day without any negative sequelae. After birth, the newborn was diagnosed with dengue IgG by potential vertical transmission. Early detection and treatment are necessary for dengue during pregnancy. However, physicians must exercise extra caution when treating a pregnant dengue-infected patient by maintaining their physiological state, preventing shock, and, at the same time, taking care of the fetus, which may develop distress. J Bangladesh Coll Phys Surg 2023; 41: 120-122","PeriodicalId":105305,"journal":{"name":"Journal of Bangladesh College of Physicians and Surgeons","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139220883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Alarming Resurgence of Dengue Fever with Unusual Clinical Manifestations and Deadly Consequences of 2023 Outbreak in Bangladesh","authors":"Quazi Tarikul Islam, Refaya Tasnim, Hironmoy Barman Sagar, Nawsabah Noor, Asif Ahmed, Taufiq Hasan","doi":"10.3329/jbcps.v41i40.69677","DOIUrl":"https://doi.org/10.3329/jbcps.v41i40.69677","url":null,"abstract":"Background: Dengue fever has become a significant concern in Bangladesh in recent years. The country is currently experiencing the most significant and deadliest outbreak in 2023. In this article, we will delve into the current dengue situation in Bangladesh, analyzing its clinical profile and grave consequences. Materials and methods: This multicentric cross-sectional study analyzed 499 confirmed dengue patients admitted between May 1, 2023, and September 30, 2023, in the Department of Medicine, Popular Medical College and Hospital, and Sir Salimullah Medical College and Mitford Hospital, Dhaka. Patients were categorized into dengue Groups A, B, and C. We tabulated and expressed categorical variables (gender, clinical manifestations, comorbidity, radiological and laboratory findings) as frequencies and percentages and explored relationships between demographics, clinical manifestations, and severity. The chisquare test compared proportions, with p d” 0.05 considered significant. Duration of illness and hospital stay were analyzed using the Mann-Whitney U test. Results: Among 499 patients, the 21-40 age group with a male predominance was most affected. Predominant symptoms were fever and gastrointestinal issues. Bleeding, myalgia, and rash were less common. Group C displayed a shift towards Dengue Shock Syndrome (DSS) rather than Dengue Hemorrhagic Fever (DHF), with 125 patients experiencing shock. Group B exhibited significant ultrasonographic findings, such as ascites, hepatomegaly, and splenomegaly, while Group C had more pronounced radiological findings of pleural effusion and pneumonia, predominantly unilateral right-sided pleural effusion. In both Groups B and C, liver transaminases, serum ferritin, and serum lipase were consistently elevated. Tragically, 9 (1.80%) patients, all in Group C, did not survive. Conclusions: In summary, our study on the current dengue outbreak in Bangladesh indicates a worrying shift to severe Dengue Shock Syndrome, more prevalent than hemorrhagic fever. Prominent gastrointestinal symptoms, less bleeding, and higher mortality in Group C emphasize the crisis. J Bangladesh Coll Phys Surg 2023; 41: 12-20","PeriodicalId":105305,"journal":{"name":"Journal of Bangladesh College of Physicians and Surgeons","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139221130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Myositis : Rare Presentation of Dengue, not Uncommon in Children","authors":"Rukhsana Parvin, Tania Saad, Md. Abdur Rouf","doi":"10.3329/jbcps.v41i40.69732","DOIUrl":"https://doi.org/10.3329/jbcps.v41i40.69732","url":null,"abstract":"Dengue myositis is a recently recognized category of idiopathic inflammatory myopathies manifested as symmetric proximal muscle weakness with severe limb pain and high serum creatine kinase (CK) levels, in dengue patient (NS1 positive or IgM positive). A total 4 cases of dengue myositis were admitted at Shaheed Suhrawardy Medical College during the period from August to October, 2023. All were male & they presented mainly with severe limp pain with inability to walk they were diagnosed as dengue fever serologically. Two cases presented during febrile phase & two following fever. Their S. CPK level were high with mildly low platelet count. None of them developed shock or hemorrhagic manifestation. They were treated supportively and all 4 cases recovered without any sequelae. Dengue myositis in children is usually benign and is differentiated from other causes of flaccid paralysis by tenderness of calf and thigh muscles and raised CPK levels with other normal neurological findings. But sometimes it may result in serious consequences, so all children with dengue infection should be followed up carefully with S.CPK level J Bangladesh Coll Phys Surg 2023; 41: 101-104","PeriodicalId":105305,"journal":{"name":"Journal of Bangladesh College of Physicians and Surgeons","volume":"107 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139224193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}