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Category: Volume 07 Issue 05 May 2019
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Title: Clinical Spectrum of Fever Cases in Correlation with Hemato-Biochemical Parameters- An Experience from a North Indian Hospital

Authors: Dr Ankur Malhotra, Dr Viney Sambyal, Dr Sanjay Sharma

 DOI: https://dx.doi.org/10.18535/jmscr/v7i5.47

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:  In our study, predominantly younger  population(<55 years)  was most commonly affected .The most common etiology was found to be Rickettsial Fever followed by Enteric Fever and Malaria. This upholds the necessity for better health awareness, early transport and presentation along with better diagnostic tools at primary health care facilities.

Keywords: Hepatitis, dengue fever, Enteric fever, Rickettsial Fever, Malaria.

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Corresponding Author

Dr Viney Sambyal

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