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A Study of Etiological Pattern in an Epidemic of Acute Febrile Illness during Monsoon in a Tertiary Health Care Institute of Uttarakhand, India.
[typhoid]
Many
parts
of
India
are
endemic
for
the
dengue
,
malaria
,
typhoid
and
scrub
typhus
infections
.
The
relative
contribution
of
these
illnesses
in
an
outbreak
of
acute
febrile
illness
is
not
known
in
this
region
.
The
present
study
was
conducted
to
find
out
the
etiological
pattern
in
an
epidemic
of
acute
febrile
illness
in
Uttarakhand
during
the
monsoon
period
.
The
study
also
focuses
on
concurrent
infections
and
tries
to
find
out
the
mortality
outcomes
.
A
retrospective
study
of
four
months
was
conducted
on
1141
patients
who
presented
with
fever
,
and
were
suspected
to
have
dengue
,
malaria
,
typhoid
or
scrub
typhus
.
Patients
of
12
-
years
of
age
or
above
were
included
in
the
study
.
Serological
tests
for
dengue
,
malaria
,
typhoid
and
scrub
typhus
were
performed
.
Slides
for
malaria
parasite
were
examined
.
In
case
of
enteric
fever
only
culture
positive
cases
were
included
in
the
study
.
Among
the
1141
febrile
patients
dengue
was
detected
in
812
(
71
.
2
%
)
,
malaria
in
146
(
12
.
8
%
)
,
typhoid
in
92
(
8
.
1
%
)
and
scrub
typhus
in
69
(
6
.
0
%
)
cases
.
Mixed
infection
was
noted
in
22
(
1
.
9
%
)
.
Maximum
(
71
.
2
%
)
cases
of
fever
were
caused
by
dengue
but
significant
number
(
32
.
3
%
)
of
patients
suffered
from
malaria
typhoid
and
scrub
typhus
.
Many
(
1
.
9
%
)
suffered
from
concurrent
and
multiple
infections
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated
