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Background: Dengue fever is one of the most common arbo virus mediated outbreaks, being reported from different parts of the world. Now as the outbreaks are hitting different geographic locations, different clinical manifestations are being reported recently. The aim of this study is to document varied clinical manifestations and haematological parameters of dengue patients in a tertiary care centre.Methods: A total 130 cases of any of NS1 antigen, IgM card test positive or IgM ELISA positive dengue patients were included in this observational study. Clinical and haematological parameters were noted and analysed statistically.Results: Most common clinical feature was fever (100%) followed by headache (51.5%). Atypical features like seizures due to encephalitis was seen in a child with dengue. Seizure were present in 1.5% of cases, two children died due to severe dengue with shock and multi organ failure. In our study 26.92% of patients had thrombocytopenia. The mean Hb was 12.86 g/dl and platelet count was 104202/mm3.Conclusions: Fever and headache are the main features of dengue. However, one should be aware of different atypical presentations of dengue fever to diagnose and intervene timely. Early recognition of complication and timely intervention are required in the management of dengue cases.

Adolescent girls are the mothers of tomorrow and no edifice can be built on a foundation which is so weak. The purpose of this study was to assess reproductive health status and health seeking behavior of the adolescent girls. A cross-sectional study was carried out among adolescent girls 10-19 years (n=150) in the selected slum areas in Dhaka city. Structured questionnaires were used to obtain information on socio-demographic characteristics, reproductive health status and health seeking behavior. Based on this assessment, the majority of the girls (50%) were in the age group 10-13 years (early adolescence), while 30% were in the age group 14-16 years (middle adolescence) and 19.3% were in the age group 17-19 years (late adolescence). About 72.7% of the respondents were students and 24% of the adolescent girls worked in garments. The mean income of these slum households was approximately 19650 BDT per month. Among the adolescent girls, 58.7% of the girls suffered from general health problem while 34.7% of the girls suffered from reproductive health problem. Almost 34% of the girls did not seek treatment for their health problems. Those who sought for treatments were mainly dependent on pharmacy attendants (61.7%) for remedies. About 62% of the adolescent girls had an idea about menstruation cycle.The mean age of the girls who had their menstruation was 12 years. About 67% of the girls used cloth during menstruation and 90.5% of the girls said that they did not follow proper procedure to clean the cloth. About 85.3% of the adolescent girls did not take any vaccination. Study indicates that among the adolescent girls those who used cloths during their menstruation, only 9.5% girls cleaned the cloth properly.45% of the girls isolated themselves during the menstruation. Again 57.4 % of the adolescent girls told that they avoid food items due to the foul smell, taboo, and anorexia during menstruation. There was a negative correlation between nutritional status and health issues of the adolescent girls as like dietary diversity.

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