Aetiology and clinical spectrum of acute undifferentiated febrile illness in hospitalized children
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2017, Vol 4, Issue 11
Abstract
Introduction:Acute fever of 2 weeks duration with non-specific signs and symptoms is known as acute undifferentiated febrile illness (AUFI). Owing to non-specific presentation, it remains a diagnostic challenge. Hence the present study focuses on etiology and clinical profile of undifferentiated febrile illness. Methodology: All children aged 2-12 years admitted with fever of 5-15 days duration, for which no cause was found after a thorough history and clinical examination were included from July 2015 to June 2016 prospectively. History, examination findings, investigations and the treatment details were recorded. Data analyzed using SSPS software. Results: Total sample size was 263. The mean age was 6.7 ± 3.4 years. Most common symptoms were cough and vomiting. The most common diagnosis arrived at was Scrub typhus (22.4%) followed by Dengue (11%), Enteric fever (11%), Co- infections (6.1%), Urinary tract infections (3%) and Lower respiratory tract infections (2.3%). Fever was still undiagnosed in 116 children (44.1%). No malarial infection was noted. Conclusion: Non-malarial infections are common in this part of the country in children with AUFI.
Authors and Affiliations
Prabha S, Barathy C, Sriram P, Antonieo Jude Raja
Keywords
Related Articles
- EP ID EP302124
- DOI 10.17511/ijpr.2017.11.02
- Views 127
- Downloads 0
Feeding practices and problems in breastfeeding in the first postnatal week in late preterm infants
Background and objective: Breastfeeding problems exist despite advice and counseling. Problems are more in late preterm babies compared to term. Problems in feeding start in early postnatal life which continues later. Th...
Peritoneal dialysis in PICU in a tertiary care hospital- a one year analysis
Background:Renal replacement therapy has as established role in the pediatric intensive care unit. Peritoneal dialysis (PD) has been successfully used as a therapy for Acute Kidney Injury (AKI) since 1946. It is a freque...
Application of WHO MUAC for age -Z score chart in diagnosis of SAM in Indian children: a comparative study with IAP classification
Background: Mid upper arm circumference (MUAC) is a quick and easy method to determine malnutrition. Though considered age independent earlier, recently World Health Organization (WHO) has prepared MUAC Z score chart for...
Japanese encephalitis with Acute respiratory distress syndrome: A rare presentation
A 15 years girl presented with high grade fever, headache, vomiting, loose stools, neck stiffness and positive Kernig’s sign further more developed Shock with ARDS, landed in coma (GCS=3), with changing neurological sign...
Utility of anthropometric measurements to predict low birth weight newborns
Introduction: Birth weight is an important indicator of survival, future growth and overall development of the child. Timely care of a low birth weight newborn (LBW) is important but it's difficult in developing countrie...