Study of thrombocytopenia in acute febrile illness and it’s prognostic significance at tertiary care hospital
Journal Title: Medpulse International Journal of Medicine - Year 2019, Vol 9, Issue 1
Abstract
Background: Febrile thrombocytopenia is a usually condition commonly caused by infections. India is a tropical country and a spurt in the number of cases of febrile thrombocytopenia has been noted, especially during the monsoon season. Objectives: To study the clinical profile and prognostic outcome of thrombocytopenia in acute febrile illness patients admitted in medicine ward. Material and Methods: A prospective study on 300 randomly selected cases presenting with acute febrile illness were selected after fulfilling inclusion and exclusion criteria’s. Detailed history was taken with preformed questionnaire. Appropriate laboratory investigations were done. Data was collected and analyzed using SPSS vs 20. Results: Dengue cases were found in majority with 143 (47.7%). Total of 101 (33.6%) cases had severely low platelets, most cases 169 (56.4%) belonged to moderate thrombocytopenia group. Dengue (71) was main etiology among 50,000 group, while viral fever (72) was major etiology in 50,000-1,00,000 group. Most common clinical presentations were rigors 72%, myalgia 67%, headache 44%. In 73% cases there were no any complications. Among 219 non complicated cases ARDS (12.7%) was most commonly seen. Out of total cases, 50 (6%) cases expired due to multiorgan failure. Severity of thrombocytopenia was significantly associated with death cases. Conclusions: Males forming greater burden, dengue being most common etiology in this study. Severity of thrombocytopenia was significantly associated with complication and death cases.
Authors and Affiliations
P T Gajbhare, A Agarwal, N Sutar
Keywords
Related Articles
- EP ID EP517488
- DOI 10.26611/1021918
- Views 60
- Downloads 0
A study of various complications of right ventricular infarction at tertiary health care centre
Background: Myocardial infarction was previously thought to be a disease of mainly the left ventricle. Right ventricular infarction was just a pathological entity. Aims and Objectives: To Study various complications of r...
Utility of various diagnostic methods for early detection of lung cancer
Background: Lung cancer is the leading cause of cancer-related deaths. The overall 5 year survival rate of lung cancer is 15% in developed countries and 5% in developing countries An early, accurate diagnosis is of param...
Role of CT guided fine needle aspiration biopsy in the diagnosis of suspected lung cancer
Problem Statement: Diagnosing lung cancer in its earlier stages has always been a challenging entity for physicians, surgeons and radiologists alike. Though FNAB has an established role in diagnosing lung cancer, the pre...
Profile of patients with acute febrile illness and multi - organ involvement during monsoon at rural coastal region of Maharashtra
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 o...
A study of prevalence of chronic kidney disease in type II diabetes mellitus patients at a tertiary health care centre
Background: CKD is seen in majority of the patients of diabetes milletus. CKD increases the frequency of cardiovascular disease episodes and progresses to end-stage renal disease (ESRD). Aim and objective: To study the p...