Clinical profile and outcome of dengue hemorrhagic fever in a Tertiary Care Hospital in Dhaka

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,.