Acute Kidney Injury in Tropical Acute Febrile Illness of Malwa Region
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 3
Abstract
Abstract: Tropical Acute Febrile Illness (TAFI) is defined as all acute febrile syndromes with oral temperature over 37.5oc within the last 24 hours and less than two weeks, in tropical and sub-tropical developing countries with nonspecific symptoms and signs. Addressing the unique circumstances and needs of developing countries, especially in the detection of AKI in its early and potentially reversible stages to prevent its progression to kidney failure requiring dialysis, is of paramount importance. This study is conducted with the objectives to highlight the occurrence of acute kidney injury by the RIFLE criteria as well as their association with requirement for RRT and in-hospital mortality in patients with established diagnosis of tropical acute febrile illness, common being malaria, salmonellosis, dengue and leptospirosis scrub typhus in central India. RRT requirement was 0(0%) among (12) total cases of vivax malaria and 0(0%) amongs (4) total AKI in vivax malaria. RRT requirement was 0(0%) among (12) total cases of leptospirosis and 0(0%) amongst (5) total AKI in leptospirosis. RRT requirement was 4(10.81%) among (37) total cases of dengue and 4 (40%) amongst (10) total AKI in dengue.In present study most common TAFI was malarial fever 44 (31.43%), followed by dengue fever 37 (26.43%), enteric fever 31 (22.14%), scrub typhus 16 (11.43%), leptospirosis 12 (8.57%). In malarial fever plasmodium falciparum (23) contributes to maximum number of cases followed by vivax malaria (12) and mixed malaria (9). In this study out of total (39) AKI patients, 25.64%(10) AKI caused by falciparum malaria, another 25.64%(10) AKI by dengue fever, 12.82%(5) AKI by leptospirosis, vivax and scrub typhus each contribute to 10.26%(4) of AKI, mixed malaria and enteric fever each contributes to 7.69%(3) of AKI. Hence maximum burden of AKI was due to falciparum malaria and dengue fever.
Authors and Affiliations
Dr. Atishay Jain, Dr. Akanksha Jain
Keywords
Related Articles
- EP ID EP474650
- DOI -
- Views 99
- Downloads 0
Sonographic Measurements of Normal Supraspinatus Tendon Width and Thickness in Sudan
The supraspinatus tendon is one of the four rotator cuff tendons; it lies on its superior aspect and arises from the supraspinous fossa of the scapula and scapular spine. The aim of the study was to measure the width and...
A Study of serum aluminium levels in patients of Chronic Renal Failure on haemodialysis
Abstract: Chronic Kidney Disease (CKD) is a clinical condition in which there is an irreversible loss of endogenous renal function, to render the patient permanently dependent upon renal replacement therapy. Even optimal...
The Restoration of Traumatized Anterior Teeth with Original Tooth Fragments
Abstract: Anterior tooth fractures are a common dental injury, and treatment of these fractures is an important part of dentistry. Loss of tooth structure, tooth eruption, aesthetics, function, and patient expectations m...
Clinical, Laboratory, Radiological & Autopsy Correlation In Brain Tuberculosis
Abstract: Tuberculosis is a major health problem in developing countries. A significant number of patients admitted to the hospitals in our country succumb to tuberculosis of the brain. Central nervous system tuberculosi...
Innovative Approach – Liquid Supported Denture: A Case Report
Conventional complete denture lacks retention and stability in patients with fibrous hyperplasic tissue. The ideal properties of a denture are adequate rigidity of polished surface to bear masticatory forces and at the s...