CLINICAL AND INVESTIGATIONAL STUDY OF “FEVER UNKNOWN ORIGIN”

• Published in: Journal of evolution of medical and dental sciences Vol. 4; no. 57; pp. 9946 - 9950
• Main Authors: Narasimham, Y.V.L, Gandhi, M.V.V
• Format: Journal Article
• Language: English
• Published: Akshantala Enterprises Private Limited 16.07.2015
• Subjects: Health aspects; Infection
• ISSN: 2278-4748; 2278-4802
• DOI: 10.14260/jemds/2015/1439

BACKGROUND AND OBJECTIVES: Classical F.U.O is in chronic fever (> 2 weeks) with no cause identified after initial investigation on two outpatient visits or three inpatient days. (1) There has been increased appreciation in recent years of the frequent occurrences and clinical importance of F.U.O. (2) The incident is 5-15% of cases. History taking and physical examination, remaining main stay of practice of this entity (3) and absence of fever does not exclude severe infection and hypothermia may occur in severe sepsis. Many patients present with fever with no oblivions focus of infection. Inevitably, infection will account for a higher percentage of F.U.O in developing countries. And fever presents with different patterns. This study aims at the study of clinical profiles of F.U.O to spot the disease early. METHODS: The patient presenting with clinical examination of symptoms and signs. Investigational examination i.e. urine analysis, blood analysis, parasite and organism detecting from blood and imaging methods. RESULTS: Out of 50 cases, 35 cases were males and 5 cases were females. So the disease more in males because males will wander outside for their occupation and household works. The common symptoms are fever headache and malaise. The common signs are dehydration, splenomegaly, hepatosplenomegaly, toxaemia, lymph node enlargement. Common aetiology is infectious origin. Most of the cases diagnosed by blood examination. CONCLUSION: It is found that more cases are found in male sex. Common symptoms are fever, and it is low fever and often it is continuous fever. And common signs are dehydration, splenomegaly, hepatosplenomegaly, lymph node enlargement, jaundice, neck stiffness and delirium. KEYWORDS: F.U.O, Clinical examination, Urine and blood examination, X Ray chest PA, Ultrasonography, Computed tomography (CT) and Magnetic Resonance Imaging (MRI).