DOI: 10.36347/sjams.2022.v10i09.005

Pages: 1442-1447

Background: Rickettsial infection can occur by a number of obligate intracellular bacteria from the genus rickettsia which belongs to the Alphaproteobacteria. Rickettsial infection is the most frequent emerging and reemerging diseases. This infection has become an endemic disease worldwide. Aim: The aim of the study was to find the incidence of rickettsial disease in and management of rickettsial infections among febrile patients attending inpatients and outpatients department of a tertiary care hospital. Methods: This study was a retrospective cross-sectional study which was incidence and management of rickettsial infections among febrile patient of department of Medicine in Tairunnessa Memorial Medical College and Hospital, Gazipur, Bangladesh. The study was conducted during the period of January 2019- February 2022. The total sample size for this study was 86. Result: Most common age group affected was between 21-30 years accounting for 27(31.4%) of cases. Most of the patients 47(55%) were male and 39(45%) were female. 20(23.3%) patients were housewife and followed by 21(24.4%) were garment worker, 4(4.7%) were service holder and 30(34.9%) were from other occupation. All 86(100%) patients had fever and followed by generalized weakness in 39(45.3%), Headache in 24(27.9%), Cough and cold in 25(29%), Body ache in 9(10.5%), Vomiting in 8(9.3%), abdominal pain in 8(9.3%) and 18(20.9%) other complaints were also seen. CBC & ESR, Weil Felix test were done in all 86(100%) patients followed by Urine R/M/E in 54(62.8%), serum creatinine in 12(14%), USG of W/A was done in 11(12.8%), PBF in 5(5.8%), Urine C/S in 3(3.5%), S. Electrolytes in 2(2.3%) and other investigation was done in 9(10.5%) cases. Doxycycline was prescribed in all patients 86(100%) and followed by Esomeprazole to 68(79.06%), Linagliptin+Metformin to 18(20.9%), Glimipiride to 17(19.8%), Azithromycin and Domperidon to 8(9.3%), Montelukast and Pantoprazole to 7(8.1%), Rupatadine to 6(7%), Ondansetron .........