Vitamin D deficiency in dengue fever patients' coinfected with H. pylori in Pakistan. A case-control study

Bibliographic Data

ID22090174
AuthorsWajid Ameen Mirza (Zhengzhou University), Ke Zhang (0000-0002-1841-9016, Zhengzhou University), Rongguang Zhang (0000-0003-0194-2684, Zhengzhou University, corresponding author), Guangcai Duan (0000-0003-1353-9833, Zhengzhou University), Muhammad Shahid Nawaz Khan (Nishtar Medical College and Hospital), Peng Ni (0000-0002-0801-7574, Zhengzhou University)
Year2022
Volume10
Pages1035560-1035560
Publication date2022-10-31
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.1035560
PMID36388314
OpenAlexW4307870234
LanguageEN
References cited64

Introduction Dengue fever is a vector-borne disease with an estimate of 390 million persons getting the infection each year with a significant public health impact. It has been reported DENV patients with vitamin D deficiency led to severe form of dengue infection; while H. pylori coinfection alters vitamin D receptors leading to vitamin D deficiency. We hypothesize that DENV patient's having low vitamin D along with H. pylori coinfection could have worsen dengue severity as well as vitamin D deficiency. In this case-control study, we compared (I) the vitamin D deficiency in dengue fever cases with or without H. pylori coinfection, and (II) negative dengue fever as a control with or without H. pylori coinfection. We have also assessed the correlation between vitamin D levels and its effect on warning signs of the dengue fever. Further, we have investigated whether coinfection with H. pylori has any effect on warning signs in the dengue fever patients and the vitamin D deficiency in all serotypes of the dengue virus infected patients. Methods In this case control study the association of the vitamin D levels with age, gender and H. pylori coinfection in dengue fever hospitalized patients was assessed using chi-square and multivariate logistic regression analysis. Results Four hundred dengue fever patients with H. pylori coinfection were compared with 400 dengue negative controls with H. pylori coinfection. The mean age was 29.96 ± 10.5 and 29.88 ± 10.7 years among cases and controls, respectively. Most dengue fever patients with H. pylori coinfection were deficient in vitamin D compared with negative dengue controls with H. pylori coinfection. In multivariate logistic regression, the dengue cases with H. pylori coinfection were.056 times (95% CI: 0.024, 0.128, P = 0.000) more likely to have vitamin D “deficiency', while compared with the cases who did not have H. pylori coinfection. Conclusion The present study proposes that vitamin D deficiency in dengue fever patients coinfected with H. pylori is much higher than the dengue fever negative controls coinfected with H. pylori . As hypothesized the DENV patient with H. pylori coinfection has vitamin D deficiency as well as increased dengue severity

Coinfection · Dengue fever · Dengue virus · Virus · Vitamin D and neurology · vitamin D deficiency · Medicine · Mosquito-borne diseases and control · Vitamin C and Antioxidants Research · Vitamin D Research Studies · Gastroenterology · Immunology · Internal Medicine

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