Hospital-Based Prevalence of Malaria and Dengue in Febrile Patients in Bangladesh
We conducted a nationwide study at six tertiary hospitals from December 2008 through November 2009 to investigate etiologies of febrile illnesses in Bangladesh. Febrile patients meeting a clinical case definition were enrolled from inpatient and outpatient medicine and pediatric units. We assessed 7...
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| Veröffentlicht in: | The American journal of tropical medicine and hygiene 2012, Vol.86 (1), p.58-64 |
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| creator | FARUQUE, Labib I UZ ZAMAN, Rashid ALAMGIR, A. S. M GURLEY, Emily S HAQUE, Rashidul RAHMAN, Mahmudur LUBY, Stephen P |
| description | We conducted a nationwide study at six tertiary hospitals from December 2008 through November 2009 to investigate etiologies of febrile illnesses in Bangladesh. Febrile patients meeting a clinical case definition were enrolled from inpatient and outpatient medicine and pediatric units. We assessed 720 febrile patients over 12 months; 69 (9.6%) were positive for IgM antibodies against dengue virus by enzyme-linked immunosorbent assay, and four malaria patients (0.56%) were confirmed with immuno-chromatography and microscopic slide tests. We identified dengue cases throughout the year from rural (49%) and urban areas (51%). We followed-up 55 accessible dengue-infected patients two months after their initial enrollment: 45 (82%) patients had fully recovered, 9 (16%) reported ongoing jaundice, fever and/or joint pain, and one died. Dengue infection is widespread across Bangladesh, but malaria is sufficiently uncommon that it should not be assumed as the cause of fever without laboratory confirmation. |
| doi_str_mv | 10.4269/ajtmh.2012.11-0190 |
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We followed-up 55 accessible dengue-infected patients two months after their initial enrollment: 45 (82%) patients had fully recovered, 9 (16%) reported ongoing jaundice, fever and/or joint pain, and one died. Dengue infection is widespread across Bangladesh, but malaria is sufficiently uncommon that it should not be assumed as the cause of fever without laboratory confirmation.</description><identifier>ISSN: 0002-9637</identifier><identifier>EISSN: 1476-1645</identifier><identifier>DOI: 10.4269/ajtmh.2012.11-0190</identifier><identifier>PMID: 22232452</identifier><identifier>CODEN: AJTHAB</identifier><language>eng</language><publisher>Deerfield, IL: American Society of Tropical Medecine and Hygiene</publisher><subject>Adolescent ; Adult ; Antibodies, Viral - blood ; Antigens, Protozoan - analysis ; Arboviroses ; Bangladesh - epidemiology ; Biological and medical sciences ; Child ; Child, Preschool ; Dengue - complications ; Dengue - epidemiology ; Dengue - immunology ; Dengue - virology ; Dengue fevers ; Dengue virus ; Dengue Virus - immunology ; Female ; Fever - epidemiology ; Fever - etiology ; Hospitals, Teaching - statistics & numerical data ; Human protozoal diseases ; Human viral diseases ; Humans ; Immunoglobulin M - blood ; Infant ; Infant, Newborn ; Infectious diseases ; Malaria ; Malaria - complications ; Malaria - epidemiology ; Malaria - parasitology ; Male ; Medical sciences ; Parasitic diseases ; Plasmodium falciparum - isolation & purification ; Plasmodium vivax - isolation & purification ; Prevalence ; Protozoal diseases ; Tropical viral diseases ; Viral diseases ; Young Adult</subject><ispartof>The American journal of tropical medicine and hygiene, 2012, Vol.86 (1), p.58-64</ispartof><rights>2015 INIST-CNRS</rights><rights>The American Society of Tropical Medicine and Hygiene 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c464t-49c1482049f51f7b34e87f62da43918864cc418be0c20a77637cb0bb97243a1b3</citedby><cites>FETCH-LOGICAL-c464t-49c1482049f51f7b34e87f62da43918864cc418be0c20a77637cb0bb97243a1b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3247110/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3247110/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,27900,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26066685$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22232452$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FARUQUE, Labib I</creatorcontrib><creatorcontrib>UZ ZAMAN, Rashid</creatorcontrib><creatorcontrib>ALAMGIR, A. 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We identified dengue cases throughout the year from rural (49%) and urban areas (51%). We followed-up 55 accessible dengue-infected patients two months after their initial enrollment: 45 (82%) patients had fully recovered, 9 (16%) reported ongoing jaundice, fever and/or joint pain, and one died. Dengue infection is widespread across Bangladesh, but malaria is sufficiently uncommon that it should not be assumed as the cause of fever without laboratory confirmation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Antibodies, Viral - blood</subject><subject>Antigens, Protozoan - analysis</subject><subject>Arboviroses</subject><subject>Bangladesh - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Dengue - complications</subject><subject>Dengue - epidemiology</subject><subject>Dengue - immunology</subject><subject>Dengue - virology</subject><subject>Dengue fevers</subject><subject>Dengue virus</subject><subject>Dengue Virus - immunology</subject><subject>Female</subject><subject>Fever - epidemiology</subject><subject>Fever - etiology</subject><subject>Hospitals, Teaching - statistics & numerical data</subject><subject>Human protozoal diseases</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Immunoglobulin M - blood</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infectious diseases</subject><subject>Malaria</subject><subject>Malaria - complications</subject><subject>Malaria - epidemiology</subject><subject>Malaria - parasitology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Parasitic diseases</subject><subject>Plasmodium falciparum - isolation & purification</subject><subject>Plasmodium vivax - isolation & purification</subject><subject>Prevalence</subject><subject>Protozoal diseases</subject><subject>Tropical viral diseases</subject><subject>Viral diseases</subject><subject>Young Adult</subject><issn>0002-9637</issn><issn>1476-1645</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFu1DAQhi0EotvCC3BAuSB6yTLjOI5zQaKFUqQiigRna-JMdl15na2drcTbk6VLgQsnS-Nvfs2vT4gXCEsldfuGbqbNeikB5RKxBGzhkViganSJWtWPxQIAZNnqqjkSxznfAKCRiE_FkZSykqqWC_H1csxbP1EozyhzX1wnvqPA0XExDsVnCpQ8FRT74j3H1Y4LH4sL7pIPXFzT5DlOeT87o7gK1HNePxNPBgqZnx_eE_H94sO388vy6svHT-fvrkqntJpK1TpURoJqhxqHpqsUm2bQsidVtWiMVs4pNB2Dk0BNM7dwHXRd20hVEXbViXh7n7vddRvu3XxJomC3yW8o_bAjefvvT_Rruxrv7Ny8QYQ54PUhII23O86T3fjsOASKPO6ybbGuTI11M5On_yURECVKA2ZG5T3q0phz4uHhIAS7t2Z_WbN7axbR7q3NSy__rvKw8lvTDLw6AJQdhSFRdD7_4TRorU1d_QQ0R6Aj</recordid><startdate>2012</startdate><enddate>2012</enddate><creator>FARUQUE, Labib I</creator><creator>UZ ZAMAN, Rashid</creator><creator>ALAMGIR, A. 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| subjects | Adolescent Adult Antibodies, Viral - blood Antigens, Protozoan - analysis Arboviroses Bangladesh - epidemiology Biological and medical sciences Child Child, Preschool Dengue - complications Dengue - epidemiology Dengue - immunology Dengue - virology Dengue fevers Dengue virus Dengue Virus - immunology Female Fever - epidemiology Fever - etiology Hospitals, Teaching - statistics & numerical data Human protozoal diseases Human viral diseases Humans Immunoglobulin M - blood Infant Infant, Newborn Infectious diseases Malaria Malaria - complications Malaria - epidemiology Malaria - parasitology Male Medical sciences Parasitic diseases Plasmodium falciparum - isolation & purification Plasmodium vivax - isolation & purification Prevalence Protozoal diseases Tropical viral diseases Viral diseases Young Adult |
| title | Hospital-Based Prevalence of Malaria and Dengue in Febrile Patients in Bangladesh |
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