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TITLE:

EVALUATION OF PATIENTS PRESENTING WITH ACUTE UNDIFFERENTIATED FEVER IN EMERGENCY DEPARTMENT

AUTHORS:

Dr. Ayesha Shahbaz, Dr. Maryam Khalid, Dr. Qurat-ul-Ain Abbasi

ABSTRACT:

Objective: Our study aimed at identifying the characteristics and etiology of various causes of acute undifferentiated fever in patients presenting to the emergency department of a tertiary care hospital. Methods: This was a retrospective study conducted at the department of emergency medicine, Services Hospital, Lahore from January to June 2018. Adult patients presenting to Emergency department with acute undifferentiated fever were enrolled. Descriptive statistics were calculated in terms of meanĀ±SD for continuous variables like age of the patients and duration of fever, whereas frequency and percentage were computed for categorical variables like gender and causes of fever. Results: A total of one hundred and sixty five patients were included. Out of these 102 (62.6%) were males and 63 (37.4%) were females. Most patients (25.2%, n= 39) were diagnosed as malaria followed closely by dengue fever (n=33, 21.3%) and then enteric fever (n= 10, 6.5%). while 41.9% (n=65) were diagnosed as suspected viral fever based on clinical judgment and inconclusive laboratory results. Conclusion: Malaria was found to be the most common confirmed cause of acute undifferentiated fever followed by dengue and enteric fever. The provision of accurate epidemiological data will enable resources to be directed towards key areas and will be of practical importance to clinicians.

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