Case Study

Clinical Spectrum Of Fever Cases In Correlation With Hemato-biochemical Parameters- An Experience From A North Indian Hospital.

Abstract :

Introduction: The purpose of this study is to study the clinical spectrum of fever cases, outline the hemato-biochemical and serological parameters and delineate a syndromic approach to tropical infections in a Tertiary hospital of North India. Methods: The study included 926 cases of fever admitted to our hospital, GMC Jammu, in medical wards over a period of six months and corelating their clinical manifestations with the lab parameters (hematological, biochemical, serology) and imaging modalities. Results: Out of 926 cases admitted with fever, 78 (8.4 %) cases were undifferentiated viral fever, 140 (15.2%) were enteric fever, 85(9.2%) were dengue, 126(13.6%) were malaria, 28(3%) of hepatitis A and 26(2.8%) of hepatitis E, 14(1.5%) of varicella, 86(9.4%) of pneumonia and 81(8.7%) of UTI.45(4.9%) liver abscess were reported along with 186(20.1%) cases of Rickettsial Fever, 0.2% of leptospirosis and 0.6% of Tuberculosis . Conclusion: We demonstrate a wide range of pathogens associated with severe feile illness and highlight the substantial information gaps regarding the geographic distribution and role of common pathogens. High quality severe feile illness etiology research that is comprehensive with respect to pathogens and geographically representative is needed.

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