Abstract
Background: Dengue has become endemic in Bangladesh since 2000. The cases are being encountered each year particularly in urban areas. Thus, Dhaka, Chittagong, Rajshahi, Khulna and other cities are commonly affected areas. We sought to get a profile of dengue hemorrhagic fever (DHF) in a tertiary care hospital in the Dhaka city.Methods: This direct observational study was undertaken from June to October 2008 among the hospital admitted patients with a diagnosis of DHF.Result: Out of 55 patients with DHF, 87.27% came from urban areas. About 43.64% patients showed various types of active bleeding in association with different clinical features. 100% patients had relative bradycardia. Tourniquet test was positive in 43.63% patients. IgM and/or IgG antibody titer to dengue virus were positive in 85% cases.Conclusion: The clinical picture of Dengue is not as diverse as other regions of the world and the National guideline is till now found to be effective in adequate management, Â doi:10.3329/jom.v10i1.1996 Â J Medicine 2009; 10: 12-15 Â
Highlights
Dengue has become endemic in Bangladesh since 2000
A total 69.09% patient placed in age group I, 27.27% in group II and 3.63% in group III
Relative bradycardia was observed in all cases and 70.91% patients had low blood pressure.(Fig-2)
Summary
Dengue has become endemic in Bangladesh since 2000. The cases are being encountered each year in urban areas. Conclusion: The clinical picture of Dengue is not as diverse as other regions of the world and the National guideline is till found to be effective in adequate management, Introduction: Dengue is endemic in 112 countries with an estimated 100 million cases per year.[1] Each year, between 250,000 and 500,000 cases are reported as dengue hemorrhagic fever (DHF) due to the simultaneous presence of hemorrhagic manifestations, thrombocytopenia and signs of plasma leakage and at least 12,000 deaths occur worldwide.[2,3] In Bangladesh, the magnitude of DF was largely unknown until an epidemic of DF and DHF broke out in June, 2000 Since it has become endemic here.[4] serologic studies and virus isolation conducted during the outbreak of “Dacca fever” in 1964 revealed that the condition was due to dengue viral infection, sporadic cases and small outbreaks went unreported until it took heavy toll in 2000 (5,555 cases and 93 deaths); 2001 (2,430 cases and 44 deaths) and 2002 (6,104 cases and 58 deaths).
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