Introduction: The outbreak of COVID-19 is taking an unprecedented mental toll on health workers worldwide. So it comes as no surprise that the mental well-being of health care workers of Bangladesh too is in serious jeopardy. This survey was aimed to assess the immediate psychological impact on doctors working in largest Covid-19 dedicated facility in Bangladesh, Dhaka Medical College Hospital. Methods: This cross sectional study was conducted in a single-centre with response received from participating doctors between 31st May to 3rd June, 2020. Mental health variables were assessed via the Athens Insomnia Scale (AIS) and Hospital Anxiety Depression Score (HADS). Results: We received 192 completed questionnaires (response rate, 64.43%) among whom around 50% of the participating doctors reportedly have depression and anxiety symptoms respectively. Among them 104 doctors (54.17%) responded to have insomnia. Around 56% of the responding subjects perceived the highly contagious nature of the SARS-CoV-2 as the most striking threat of COVID-19. Conclusion: Agonizing disease process, high death toll, highly contagious nature of the responsible virus is taking a serious mental toll on physicians in the background of their heightened concern about personal health and family health, scarcity in PPE and adequate hospital facility. Psychological protective measures implemented by the hospital could be helpful. J Bangladesh Coll Phys Surg 2020; 38(0): 50-55

Background: The objective of the study was to report the epidemiological characteristics of symptomatic laboratory confirmed COVID-19 patients seeking care from Dhaka Medical College Hospital (DMCH). Methods: This observational study was conducted in department of Medicine, DMCH for the period of 2 months following ethical approval. Total 100 RT-PCR confirmed COVID-19 patients were included and interviewed. Informed written consent was ensured before participation. Collected data were entered in a predesigned case record form and subsequently analyzed by SPSS-20. Results: Average age of presentation was 37.20±10.02(SD) years with male predominance (77%). Urban presence was in 90%. Thirty-two percent of the patients had comorbidities, with diabetes (16%) and hypertension (19%) being the most frequently observed.The most commonly observed symptoms was fever (65%), followed by cough (58%), breathlessness (42%), Dysgeusia (40%) and fatigue (33%). Mean duration of illness was 8.74±4.8 (SD) days. Overall mortality was 9%. All patients were managed according to the national guidelines and only 7% required ICU support. Conclusion: Patients were mostly middle-aged and male. Typical presentations were fever, cough, breathlessness and dysgeusia. Overall mortality was 9% among the admitted patients and requirement of ICU was 7%. Further study with large sample size is recommended to get a more precise picture. J MEDICINE JUL 2020; 21 (2) : 69-75

Subacute thyroiditis is an immune reaction of the thyroid gland that often follows an upper respiratory tract infection. It is an uncommon but usually a self-limiting inflammatory condition. The clinical presentation varies from person to person, but usually includes neck pain or discomfort and a painful diffuse goiter. There is at times a transient episode of hyperthyroidism followed by euthyroidism and sometimes hypothyroidism. We describe the case of a previously healthy 34- year-old female presenting with symptoms consistent with subacute thyroiditis. The patient had recently recovered from a mild episode of COVID-19 infection. Labs and imaging were consistent with the clinical diagnosis of subacute thyroiditis. The patient was provided symptomatic treatment with prednisone and propranolol and had an uneventful recovery. Bangladesh J Medicine 2022; 33: 210-212