Mortality Audit of Febrile Cases Admitted in a Tertiary Care Hospital in Eastern India
Journal Title: Indian Journal of Emergency Medicine - Year 2019, Vol 5, Issue 1
Abstract
Background: Frequent outbreaks of dengue, malaria, typhoid, and influenza are very common in India, especially during the monsoon season. This study aimed at analyzing the cause and outcome of such febrile cases admitted in a tertiary care private hospital of Kolkata, India. Methods: An audit of patients (N=840) admitted to the hospital with fever was carried out from June to November, 2017 and were studied for diagnosis and clinical outcome. Data were collected, analyzed and documented using Microsoft Office Excel 2007 version. Results: Dengue was the most common infection accounting for 78.3% of all cases, followed by Influenza (8.2%) and Scrub typhus (6.5%). A total of 14 deaths occurred during the outbreak; mortality was higher among females (57.1%) and in patients with scrub typhus (8.3%). Discussion: This study confirms the need of including scrub typhus screening test in the fever panel. Studies assessing the prevalence and outcomes of scrub typhus must be done in Indian hospitals to understand the morbidity and mortality patterns better.
Authors and Affiliations
Subhrojyoti Bhowmick
Keywords
Related Articles
- EP ID EP629858
- DOI 10.21088/ijem.2395.311X.5119.3
- Views 74
- Downloads 0
Bouveret Syndrome: A Story of Silent Fistula
Gallstone ileus is a rare cause of small bowel obstruction (SBO), representing 1–4% of all SBO. Bouveret’s syndrome is a raresubcategory of gallstone ileus where a gallstone lodges itself intothe duodenum and causes gast...
A Case of Reiters Syndrome in a Young Patient Presenting to the ED
Introduction: In 1916, Hans Reiter described the classic triad of arthritis, nongonococcal urethritis, and conjunctivitis (Reiters syndrome) in a Prussian soldier with diarrhea, during the first world war. Reiter’s syndr...
Study of Serum Sodium and Potassium Levels in Patients of Acute Myocardial Infarction
Background: Cardiovascular disease is one of the leading causes of morbidity and mortality across the world. World Health Organization (WHO) has declared cardiovascular disease as a modern epidemic. Acute Myocardial Infa...
Carcinoma Prostate with Metastasis to Vertebral Column and Right Cerebellum Causing Sol and Hydrocephalus
A patient Mr. Satya Narain Chauhan, 67 yrs old male, diagnosed case of DM, Ca prostate presented with complaints of urinary retention and slurring of speech. On examination Mr. Chauhan is having left lower limb weaknessn...
A Rare Presentation of Delusion of Pregnancy and it’s Response to Modified Electroconvulsive Therapy
Delusion of pregnancy is a special form of hypochondriacal / somatic delusion. High potency antipsychotics such as pimozide are indicated in the treatment of delusional disorder. However, the use of Modified Electroconvu...