Aetiologies of Acute Undifferentiated Febrile illness in Adult Patients – an Experience from a Tertiary Care Hospital in Northern India
Introduction: Acute undifferentiated febrile illness (AUFI) is a common clinical entity in most of the hospitals. The fever can be potentially fatal if the aetiology is not recognized and appropriately treated early. Aim: To describe the aetiology of fever among patients in a tertiary care hospi...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2015-12-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/6990/11168_EC(Ra)_F(P)_PF1(PAK)_PFA(AK)_PF2(PVSU)_PF3(PAG).pdf |
| Summary: | Introduction: Acute undifferentiated febrile illness (AUFI) is a common
clinical entity in most of the hospitals. The fever can be potentially fatal
if the aetiology is not recognized and appropriately treated early.
Aim: To describe the aetiology of fever among patients in a
tertiary care hospital in Northern India.
Materials and Methods: A one-year retro-prospective, observational
study was conducted in adults (age>18years) presenting with
undifferentiated febrile illness (of duration 5-14 days). Diagnosis
was confirmed by suitable laboratory tests after exhaustive clinical
examination.
Results: A total of 2547 patients with AUFI were evaluated. Of these,
1663 (65.3%) were males and 884 (34.7%) were females. Dengue
(37.54%); enteric fever (16.5%); scrub typhus (14.42%); bacterial
sepsis (10.3%); malaria (6.8%); hepatitis A (1.9%); hepatitis E (1.4%);
leptospirosis (0.14%); were the main infections while no specific
diagnosis could be delineated in 11%. Mixed infections were noted
in 48 (1.9%) patients.
Conclusion: A good clinical acumen supported by the basic
investigations can help diagnose the cause of fever with reasonable
certainty. |
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| ISSN: | 2249-782X 0973-709X |