Study of Clinical Profile of Acute Undifferentiated Fever in a Tertiary Care Hospital

Introduction: Major aetiology of acute undifferentiated fever shows wide variation, especially in developing countries including India. Acute undifferentiated fever poses a diagnostic and therapeutic challenges to health care workers, particularly in limited resources. It is one of the commonest presenting problem in hospital. It is necessary to know the cause, which will be useful to give proper treatment to the patients. This study was aimed to find out the acute undifferentiated fever aetiologies and clinical pattern. Material and Methods: This study was conducted on hundred patients of acute undifferentiated fever, admitted in Indira Gandhi institute of Medical Science, Patna from February 2018 to January2019. Result: Acute undifferentiated fever affected all age group but most common in 26 to 35 years of age group (29%). One hundred patients were included, 78male and 22female. In this study, Typhoid (41%) was leading cause of acute undifferentiated fever followed by Malaria (23%), Dengue Fever (20%), Leptospirosis (5%), Scrub Typhus (3%) and Chikungunya (1%). Common symptom was fever (100%), Headache (64%), Vomiting (48%), Rigor and chills (42%) whereas common sign was hepatosplenomegaly (55%). Typhoid fever (41%) was the commonest cause of acute undifferentiated fever followed by malaria (23%), dengue fever (20%), urinary tract infection (5%), scrub typhus (3%) and chikungunya (1%). Conclusion: It is important to know the aetiology and clinical pattern of acute undifferentiated fever for their proper management and it will help to prevent morbidity and mortality. Keyword: Acute Undifferentiated Fever, Aetiologies, Typhoid Fever, Malaria, Dengue Fever