A study of clinic- laboratory profile of Rickettsial fever in children at tertiary health care center
Journal Title: Medpulse International Journal of Pediatrics - Year 2019, Vol 10, Issue 1
Abstract
Background:Rickettsial infections are distributed throughout the world and are re-emerging in the Indian subcontinent, especially among children. Aims and Objectives: To study clinic-laboratory profile of Rickettsial fever in children at tertiary health care center. Methodology: In the one year period i.e. January 2018 to January 2019. In the one year period all the suspected patients were undergone Positive Weil - Felix test. In the one year period 36 children who shown positive weilfelix test were included into study.The data was entered to excel sheet and analyzed by excel software for windows 10. Result:In our study we have seen The most common age group was 9-12 yrs i.e.33.33%, followed by6-9 yrswere 44.44%,3-6 yrs were 19.44%,1-3yrs were 2.78%. The majority of the patients were Male i.e. 63.89% and female were 36.11% The most common symptoms were Feverin 100.00% , followed byPain inabdomenin 72.22%, followed byVomitingin 58.33%,Coughin 47.22%,Headachein 36.11%,Myalgia in 33.33%, Polyarthralgiain 30.56%,Altered sensoriumin 25.00%,Seizuresin 19.44%, Breathlessnessin 13.89%.The most common signs wereHepatosplenomegalyin 58.33, followed bySplenomegaly onlyin 52.78%,Escharin 41.67%,Hepatomegaly onlyin 25.00%, Pallor,Edema, Conjunctival congestion, Rashwas 13.89%, Tachypnea, Lymphadenopathy was 11.11%,Hypotensionwas 8.33%,Meningeal signspositive in 5.56%. The most common laboratory signs were Elevated liver enzymes in 80.56%, followed by Anemiain 58.33%,Leucocytosisin 50.00%,Thrombocytopeniain 47.22%, Hyponatremia . In 41.67%, Hypoalbuminemiain 38.89%,Elevated creatinine in 13.89%,Elevated CPK in 11.11% Leucopeniain 8.33%.Conclusion:It can be concluded fromour study that majority of the patients were in the age group of 9-12yrs, predominant in Males. The most common symptoms were Fever, Pain in abdomen, Vomiting, Cough, Headache. The most common signswere Hepatosplenomegaly, Splenomegaly, Eschar. The most common laboratory signs were Elevated liver enzymes, Anemia, Leucocytosis,Thrombocytopenia etc.
Authors and Affiliations
Ramesh Babu Dasari, Radha Lavanya Kodali, S Sri Krishna
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