Title: Study of Clinical Profile of Acute Febrile illness with Thrombocytopenia

Authors: Dr Manoj Kumar Choudhary, Dr K.K.Lohani, Dr N.K.Paswan

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i6.207

Abstract

Introduction- Febrile thrombocytopenia is usually a condition commonly caused by infection like Malaria, Dengue fever, Enteric fever and Septicemia. It is one of the commonest presenting problems in Hospital. It is necessary to know the cause, which will be useful to give proper treatment to patient.

Aims and Objective- To study the aetiology and clinical profile of fever with thrombocytopenia.

Material and Method- The study was conducted on 100 patients who presented with fever, with thrombocytopenia and were admitted in Anugrah Narayan Magadh Medical college, Gaya from November 2015 to April 2017.

Result- Fever with thrombocytopenia affected all age group but was common in 21-40 years of age group (43%). Fever was common clinical feature and 69% patients were having platelet count>50,000/mm3. Malaria was the commonest cause (30%) as compared to Dengue fever (23%).

Conclusion- Out come depends on the underlying cause of fever, early diagnosis and early treatment.

Keywords- Fever, thrombocytopenia, Malaria Dengue fever.  

References

1.      Kothari VM, Karnand DR, Bichile L.S, Tropical infection in the ICU, J Assoc Physician India 2006;54(APR):291-8.

2.      Konkle B.Disorders of platlet and vessel wall. In: Longo DL, Fauci AS, Kasper DL, Hauser SL JJL, editor Harrisons Principles of Internal Medicine. 18th ed. The MC. Graw-Hill Companies, 2012-P-965.

3.      Prithiviraj Patil etal, To study Clinical evaluation and outcome of patients with febrile thrombocytopenia: International Journal of Scientific and research publication, 2014;4(10);01-03.

4.      Bhalara SK, Sahs, Goswani H, Gonsai RN. Clinical and ehological Profile of thrombocytopenia in adult. A tertiary care hospital based cross sectional study, International Journal of Medical science and public health 2015;4(1):7-10.

5.      Gandhi Amita; Akholkar Pankaj, Clinical and laboratory evaluation of patient with laboratory evaluation of patient with febrile thrombocytopenia, NJMR, 2015;5(1):43-6.

6.      Raikar Shankar, Kamdar Panna, Clinical and laboratory evaluation of patient with fever thrombocytopenia, India Journal of Clinical practice, Vol24, No, 4 sep 2013;360-3.

7.      Nair PS, Jain A, Khanduri U.Keneer V ‘’A Study of fever associated with thrombo-cytopenia JAPI Dec.2003:1173-23.

8.      Larson EB, featherand stone HJ, Peterfdort RG.Fever of undertermind origin; Diagnosis and follow up 105 cases, 1970-1980,  Medicine 1982;61;269-92.

Corresponding Author

Dr Manoj Kumar Choudhary

Assistant Professor, Medicine,

Anugrah Narayan Magadh Medical College, Gaya