Profile of patients with acute febrile illness and multi - organ involvement during monsoon at rural coastal region of Maharashtra
Journal Title: Medpulse International Journal of Medicine - Year 2019, Vol 9, Issue 3
Abstract
Background: Acute febrile illness (AFI) is defined as a patient with fever of 38°C or higher at presentation or history of fever that persisted for 2–7 days with no localizing source. Fever is the main clinical symptom of various tropical infectious diseases. In India, the effect of changing climate during monsoon season leads to numerous health consequences resulting from disease transmission. Like other developing nations, India with limited resources, is facing lots of health effects due to climate change, including vector borne and water borne diseases such as leptospirosis, dengue and malaria Aims and Objectives: Profile of Patients with Acute Febrile illness and Multi - organ involvement during Monsoon at Rural coastal region of Maharashtra. Methodology: This was a cross-sectional study carried out in the patients admitted to the tertiary health care centre in the Patients with Acute Febrile illness and Multi - organ involvement specially during Monsoon season were selected into study. During the one year period i.e. January 2017 and January 2018 specially during Monsoon there were 68 patients were admitted with Febrile illness and Multi - organ involvement after confirmation by all required laboratory investigation at tertiary health care centre. All details of the patients like age, sex, symptoms and Diagnosis noted. The data entered to excel sheet and analyzed by excel software for windows 10. Result: The most common age group was 30-40 [ 41.18%], followed by 20-30 [ 22.06%,] 40-50. [ 19.12%], 50-60 [ 10.29%], >60 [ 7.35%]. The majority of the patients were Male 33[55.88%], Female were 30[44.12%]. The most common clinical features were Vomiting/loose stools in 55% followed by Hepatomegaly in 53%, Bleeding manifestation in 52%, Cough in 49%, Oliguria in 42%, Dyspnoea in 39%, Icterus in 28%, Pallor in 23%, Oedema in 20%, Lymphadenopathy in 15%, Splenomegaly in 12%. Dengue fever present in 33.82%, followed by Bacterial septicemia in 19.12%, Leptospirosis in 17.65%, Malaria- 16.18%, Undiagnosed infection in 13.24%. The majority of the patients recovered i.e. 85.29%, Death occurred in 10.29% of the patients and 4.41% patients referred to higher centers for the management of complications. Conclusion: It can be concluded from our study that The most common age group was 30-40 The most common presenting features was Vomiting/loose stools in 55% , followed by Bleeding manifestation in 52% , Cough in 49%, Oliguria in 42%, Dyspnoea in 39%, and most common clinical sign was Hepatomegaly in 53% followed by Icterus in 28%, Pallor in 23%, Oedema feet or anasarca in 20%, Lymphadenopathy in 15% and Splenomegaly in 12%. The most common conditions was Dengue, followed by Bacterial septicemia, Leptospira, Malaria, Undiagnosed infection 19%,16% and13% respectively. The mortality in our study was 10.29%.
Authors and Affiliations
Kulkarni Ujwala Prabhakar, Janhavi Jaywant Deshpande, Sunil Kotkunde, Eknath Bamane, Sagar Nanawar, Ameya Paranjpe, Abhijit Machunkar, Nandankumar V, Pranam Kendre, Chaitanya Madkar, Ravising Thakur, Ramesh Itkar
Keywords
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- EP ID EP516962
- DOI 10.26611/1021936
- Views 65
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