• J Infect Dev Ctries · Mar 2021

    Multicenter Study

    Analysis of the primary presenting symptoms and hematological findings of COVID-19 patients in Bangladesh.

    • Abu Taiub Mohammed Mohiuddin Chowdhury, Md Rezaul Karim, Hm Hamidullah Mehedi, Mohammad Shahbaz, Md Wazed Chowdhury, Guo Dan, and Shuixiang He.
    • Department of Gastroenterology, First affiliated hospital of Xi'an Jiaotong University, Xi'an, Shaanxi, P.R.China.
    • J Infect Dev Ctries. 2021 Mar 7; 15 (2): 214-223.

    IntroductionSARS-Cov-2 infection or COVID-19 is a global pandemic. In this manuscript, we investigated the primary symptoms and basic hematological presentations of SARS-CoV-2 infection among the Bangladeshi patients.MethodologyThis was a multicentre cross-sectional study done on COVID-19 patients tested positive by RT PCR in Bangladesh. Clinical features of mild to moderate degree of COVID-19 patients; hematological and biochemical admission day laboratory findings of moderate to severe degree hospitalized COVID-19 patients were analyzed.ResultsCOVID-19 patients in Bangladesh commonly presented with fever, cough, fatigue, shortness of breath, and sore throat. But symptoms like myalgia, diarrhea, skin rash, headache, Abdominal pain/cramp, nausea, vomiting, restlessness, and a higher temperature of >100°F have a greater presentation rate and more frequent than other published studies. CRP and Prothrombin time was found to increase in all the patients. Serum ferritin, ESR, SGPT, and D-Dimer were increased among 53.85%, 80.43, 44%, and 25% patients. 17.39% of the patients had leucocytosis and neutrophilia, 28.26% presented with lymphocytopenia, and 62.52% had mild erythrocytopenia. The difference between the decrease hemoglobin count (higher in the male) and increased SGPT (higher in female) against gender was significant.ConclusionsOur study had evaluated a different expression in presenting symptoms of COVID-19 patients in Bangladesh. CRP, Prothrombin time, serum ferritin, ESR, SGPT, D-Dimer, erythrocytopenia, and lymphocytopenia can be assessments for diagnosis and prognosis of COVID-19 disease. Decrease hemoglobin count (higher in the male) and increased SGPT (higher in female) establish these two markers as a good candidate for diagnostic value against gender.Copyright (c) 2021 Abu Taiub Mohammed Mohiuddin Chowdhury, Md Rezaul Karim, HM Hamidullah Mehedi, Mohammad Shahbaz, Md Wazed Chowdhury, Guo Dan, Shuixiang He.

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