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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.
[scrub typhus]
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
"relative contribution of these illnesses in an outbreak"
symptom
scrub typhus
typhoid
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