Publication: Typhoid Fever among Patients Diagnosed with Dengue in a Tertiary Care Centre: A Descriptive Cross-sectional Study
Date
2022
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Introduction: Dengue and typhoid fever are different entities with overlapping signs and symptoms which are indistinguishable and there have been few reports of co-infections from endemic areas. The resemblance of symptoms makes accurate clinical diagnosis and treatment difficult. Both are major health problems mainly during monsoon and co-infection, if not timely diagnosed and treated can be fatal. The aim of this study was to find out the prevalence of typhoid fever among patients diagnosed with dengue at a tertiary care centre.
Methods: A descriptive cross-sectional study was done among patients of age >15 years with dengue fever attending the medicine outpatient department in a tertiary care centre from 1 July 2021 to 30 June 2022. Ethical approval was taken from the Institutional Review Committee (Reference number: 466/2020). Convenience sampling was used. Patients with other risk factors for febrile illness were excluded from the study. Point estimate and 90% Confidence Interval were calculated.
Results: Among 95 dengue cases, typhoid fever was observed in 18 (18.95%) (12.36-25.54, 90% Confidence Interval). The mean age of presentation was 35±9 years with a male to female ratio of 0.8:1. Fever was the most common presentation with a mean temperature of 100.8±2.1°F.
Conclusions: The prevalence of typhoid fever among dengue-positive cases was higher as compared to other studies done in similar settings.
Description
Arun Kumar Mahato
Department of Internal Medicine, Nobel Medical College Teaching Hospital, Biratnagar, Morang, Nepal
https://orcid.org/0000-0001-6224-7226
Nischal Shrestha
Department of Internal Medicine, Nobel Medical College Teaching Hospital, Biratnagar, Morang, Nepal
https://orcid.org/0000-0002-1118-3039
Sakar Babu Gharti
Department of Internal Medicine, Nobel Medical College Teaching Hospital, Biratnagar, Morang, Nepal
Madhu Shah
Department of Pediatrics, Nobel Medical College Teaching Hospital, Biratnagar, Morang, Nepal
Keywords
Dengue, Fever, Typhoid fever