Clinical & etiological profile of acute undifferentiated fever in patients admitted to a teaching hospital in Pondicherry
Journal Title: International Journal of Medical Research and Review - Year 2018, Vol 6, Issue 5
Abstract
Objectives: To identify the infectious aetiology and clinical features of Acute Undifferentiated Fever among patients admitted to a teaching hospital in Pondicherry. Design: Prospective observational study. Subjects: 270 cases comprising all adult patients (≥18 years) admitted to the hospital with fever of less than 14 days duration, temperature ≥38ºC upon admission and non-detection of any specific foci of infection by history, physical examination and routine investigations. Previously diagnosed cases of known fevers, collagen vascular disorders, endocrine disorders, malignancies, immunodeficient states, fever of duration ≥14 days and drug induced fevers were excluded. Methods: All patients were examined and investigated according to study protocol after an informed consent to reach final diagnosis. Results: 38.1% cases were of Scrub Typhus aetiology, 20% cases tested positive for dengue, 14.1% cases came positive for Enteric fever and Malaria was found in 5.6% cases, all of P. vivax parasite. There was 1 case of TB, 1 case of candida infection and 1 case of Klebsiella pneumonia. 1 case tested positive for leptospirosis. Blood pathogens isolated were Pseudomonas and Enterococci with 1 case each. UTI was a frequent diagnosis with 7 cases of E. coli, 1 case of Enterococci and 1 case of Staphylococci. 1 case of HIV was detected. Conclusion: Scrub typhus was the most common aetiology of Acute Undifferentiated Fever followed by Dengue and Enteric fever.
Authors and Affiliations
M. K. Uthaya Sankar, Suhaim Latif Perumbadi, Shenbagaram K, Hanushraj R
Keywords
Related Articles
- EP ID EP349220
- DOI 10.17511/ijmrr. 2018.i05.04.
- Views 222
- Downloads 0
Outcome analysis of patients presenting with neurological manifestations of Plasmodium Vivax malaria in tertiary care hospital of Mumbai
Objective: Plasmodium vivax (P. vivax) infection has been considered for a long time a benign and self-limited disease. Percentage of complicated cases of vivax malaria is on the increasing trend, cerebral malaria being...
B+Myeloid MPAL: boys have it all?
Background: MPAL are rare, accounts 4% of acute leukemias .B+MYELOID are extremely rare. There is not much information on biologic features of these strange leukemias. Present study from Kidwai state cancer institute foc...
An analysis of adult non-neoplastic nephrectomies at a tertiary care centre in Mumbai
Introduction: Nephrectomies are an integral part of urological practice and a wide range of renal diseases are seen on histopathological examination of non-neoplastic nephrectomy specimens. Objective: The objective of th...
A rare case report on colloidion baby syndrome with severe ectropion in neonates
Colloidion baby is a name given to baby born yellow, scaly wax like covering the baby. It is also known as lamellar icthyosis and is an inherited disorder present through birth. The disorder is a social stigma to the soc...
Arthroscopic suture fixation of comminuted tibial spine fractures-a prospective study
Introduction: Tibial spine fractures are common injuries and various techniques have been described for the fixation. The purpose of the article is to make familiar with thearthroscopic fixation of the anterior cruciate...