Background
Dengue–COVID-19 coinfection is one of the greatest emerging challenges in dengue-endemic areas during the continuing pandemic. With coinciding clinical and laboratory pictures, early diagnosis becomes burdensome, with management discrepancy.
Methods
A descriptive study was performed on dengue–COVID-19 coinfected patients during July–August 2021 for an overview of disease progression, severity and outcome. A total of 11 patients who were positive for dengue NS1 and/or antidengue IgM were included in this study.
Results
In total, 45.5% patients developed severe COVID-19 disease, 45.5% patients developed group B dengue fever and 9% patients developed group C dengue fever. Concurrent severity of both diseases was seen to be rare, except for in one patient.
Conclusion
Early diagnosis and compatible management still stand as basic principles to prevent fatality and morbidity.
Cardiac myxoma is a rare cause of fever of unknown origin. Typically, it presents with one or more ofthe triad namely constitutional, obstructive or embolic phenomenon. Rapid detection and earlysurgical resection is the only effective modality of treatment to prevent debilitating complicationsand mortality. Herein, we showcased a case presenting to us with fever and weight loss. High indexof suspicion and early transthoracic echocardiography is needed to avoid delayed diagnosis andunnecessary tests.
J MEDICINE 2022; 23: 101-103
Bangladesh is non endemic for Cutaneous Leishmaniasis (CL). Rarely, we come across such cases in workers returning from Middle east particularly Saudi Arabia. Recently we found and managed a case of cutaneous leishmaniasis in a 37 year old male returning from Saudi Arabia with a lesion behind his left ankle joint. Although Sodium Stibogluconate is the first choice of drug to treat CL, it is not available in Bangladesh. He was managed successfully with Liposomal Amphotericin B. High index of suspicion is needed to diagnose such case without any delay.
J MEDICINE 2023; 24(2): 167-168
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