Clinical profile of fever in patients admitted through the outpatient department in a North Indian tertiary care teaching hospital
Background: Febrile illnesses are a common cause of morbidity and mortality and present diagnostic challenge, especially in the absence of reliable data in India. Fever has varying aetiologies such as infections, connective tissue disorders and malignancies. The infections may be indistinguishable c...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Journal of Clinical and Scientific Research |
| Subjects: | |
| Online Access: | http://www.jcsr.co.in/article.asp?issn=2277-5706;year=2021;volume=10;issue=4;spage=227;epage=232;aulast=Salh |
| _version_ | 1811295888715284480 |
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| author | Gurpreet Kaur Salh Veenu Gupta Harpreet Kaur Srishti Ahluwalia Saumya Ahluwalia |
| author_facet | Gurpreet Kaur Salh Veenu Gupta Harpreet Kaur Srishti Ahluwalia Saumya Ahluwalia |
| author_sort | Gurpreet Kaur Salh |
| collection | DOAJ |
| description | Background: Febrile illnesses are a common cause of morbidity and mortality and present diagnostic challenge, especially in the absence of reliable data in India. Fever has varying aetiologies such as infections, connective tissue disorders and malignancies. The infections may be indistinguishable clinically, and appropriate management will depend on the aetiologic profile. This study was planned to know the aetiology and seasonal variations of fever in adult patients.
Methods: A prospective observational study over a period of 15 months was conducted on adult patients aged ≥18 years with febrile illness. Details of history and results of physical examination were recorded. Routine baseline and special investigations were done as clinically indicated. All patients were followed until discharge from the hospital.
Results: Out of 122 patients, 79 were male. The maximum number of patients was in the age group of 31–40 years. The most common symptoms were myalgia, cough and vomiting. The aetiology of febrile illness was acute undifferentiated febrile illness (33.6%), undiagnosed undifferentiated fever (23%) and other diagnosis (43.4%). Common aetiologies of acute undifferentiated febrile illness were dengue fever (10.6%) and enteric fever (9.8%). Amongst other causes, tuberculosis and urinary tract infections were common. Seasonal variation was seen in enteric fever, dengue fever, pneumonia and tuberculosis.
Conclusions: Common aetiologies were dengue, enteric fever and tuberculosis. It is important to understand the profile of febrile illness; so that evidence-based management can be initiated, especially in a resource-limited country like India. |
| first_indexed | 2024-04-13T05:40:17Z |
| format | Article |
| id | doaj.art-602358614b2643aaa247562be83c1ee9 |
| institution | Directory Open Access Journal |
| issn | 2277-5706 2277-8357 |
| language | English |
| last_indexed | 2024-04-13T05:40:17Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical and Scientific Research |
| spelling | doaj.art-602358614b2643aaa247562be83c1ee92022-12-22T03:00:08ZengWolters Kluwer Medknow PublicationsJournal of Clinical and Scientific Research2277-57062277-83572021-01-0110422723210.4103/jcsr.jcsr_18_21Clinical profile of fever in patients admitted through the outpatient department in a North Indian tertiary care teaching hospitalGurpreet Kaur SalhVeenu GuptaHarpreet KaurSrishti AhluwaliaSaumya AhluwaliaBackground: Febrile illnesses are a common cause of morbidity and mortality and present diagnostic challenge, especially in the absence of reliable data in India. Fever has varying aetiologies such as infections, connective tissue disorders and malignancies. The infections may be indistinguishable clinically, and appropriate management will depend on the aetiologic profile. This study was planned to know the aetiology and seasonal variations of fever in adult patients. Methods: A prospective observational study over a period of 15 months was conducted on adult patients aged ≥18 years with febrile illness. Details of history and results of physical examination were recorded. Routine baseline and special investigations were done as clinically indicated. All patients were followed until discharge from the hospital. Results: Out of 122 patients, 79 were male. The maximum number of patients was in the age group of 31–40 years. The most common symptoms were myalgia, cough and vomiting. The aetiology of febrile illness was acute undifferentiated febrile illness (33.6%), undiagnosed undifferentiated fever (23%) and other diagnosis (43.4%). Common aetiologies of acute undifferentiated febrile illness were dengue fever (10.6%) and enteric fever (9.8%). Amongst other causes, tuberculosis and urinary tract infections were common. Seasonal variation was seen in enteric fever, dengue fever, pneumonia and tuberculosis. Conclusions: Common aetiologies were dengue, enteric fever and tuberculosis. It is important to understand the profile of febrile illness; so that evidence-based management can be initiated, especially in a resource-limited country like India.http://www.jcsr.co.in/article.asp?issn=2277-5706;year=2021;volume=10;issue=4;spage=227;epage=232;aulast=Salhacute undifferentiated febrile illnessdengue feverenteric feverseasonal variationtuberculosisundiagnosed undifferentiated fever |
| spellingShingle | Gurpreet Kaur Salh Veenu Gupta Harpreet Kaur Srishti Ahluwalia Saumya Ahluwalia Clinical profile of fever in patients admitted through the outpatient department in a North Indian tertiary care teaching hospital Journal of Clinical and Scientific Research acute undifferentiated febrile illness dengue fever enteric fever seasonal variation tuberculosis undiagnosed undifferentiated fever |
| title | Clinical profile of fever in patients admitted through the outpatient department in a North Indian tertiary care teaching hospital |
| title_full | Clinical profile of fever in patients admitted through the outpatient department in a North Indian tertiary care teaching hospital |
| title_fullStr | Clinical profile of fever in patients admitted through the outpatient department in a North Indian tertiary care teaching hospital |
| title_full_unstemmed | Clinical profile of fever in patients admitted through the outpatient department in a North Indian tertiary care teaching hospital |
| title_short | Clinical profile of fever in patients admitted through the outpatient department in a North Indian tertiary care teaching hospital |
| title_sort | clinical profile of fever in patients admitted through the outpatient department in a north indian tertiary care teaching hospital |
| topic | acute undifferentiated febrile illness dengue fever enteric fever seasonal variation tuberculosis undiagnosed undifferentiated fever |
| url | http://www.jcsr.co.in/article.asp?issn=2277-5706;year=2021;volume=10;issue=4;spage=227;epage=232;aulast=Salh |
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