A CLINICAL STUDY OF PATIENT WITH FEBRILE ILLNESS HOSPITALIZED IN HAMIDIA HOSPITAL BHOPAL

Abstract

Background: A better understanding of the prevalence and causes of undifferentiated febrile illness in the concerned geographic area would help in limiting the vast diagnostic workup to nd aetiological agent and guide to an optimal treatment to avoid unwanted usage of antibiotics and antimalarials. The present study was thus conducted to study etiological, hematological, clinical prole of patients presenting with undifferentiated febrile illness. Methodology: This was a cross sectional study on adults with acute febrile illness admitted in tertiary care Hospital Bhopal for a period of 2 years on acute illinfected patient belonging to age group of 18-70 years. Detailed history regarding presenting complaints along with ndings of general and systemic examination were documented in questionnaire. Blood samples were subjected to investigations to identify underlying etiology. Results: Mean age of 200 patients presenting with undifferentiated febrile illness was 39.67±17.4 years. Acute febrile illness without localizing sign was documented in 30% cases followed by LRTI (16.5%), CKD (6.5%), pneumonia (6%) and TBM (5.5%). WBC counts were raised (>11000) in 30% patients indicative of bacterial etiology whereas it was WBC counts were reduced in 2% patients suggestive of viral etiology. Platelet counts were decreased in around 43.5% patients in present study. Malarial parasite was observed in 1 (0.5%) patient whereas Widal test was positive in 3.5% patients. Conclusions: Knowledge regarding cause and clinical prole of AFIs in particular geographical area is helpful in early diagnosis and management such cases. In present study, the febrile illness presented without localizing sign whereas malaria and enteric fever were conrmed in only few cases. However non-specic test such as CBC and RFT, LFT were helpful in identifying underlying etiology as bacterial or viral.