Dr. R. N. Singh, Dr. Purva Sharma, Dr. Rajnish Kumar, Dr. (Col.) V. K. Sharma, Dr. Atul Kumar


This retrospective study was carried out on 274 patients presenting with acute febrile illness  in a tertiary care hospital of western Uttar Pradesh. All the patients between 18 to 59 years presenting with AFI of more than 2 days were included. Serological testsfor dengue fever, malaria and typhoid fever were performed. Slides for malarial parasite and urine for U.T.I. were also examined. Dengue was commonest (31.03%), followed by malaria (18.61%), typhoid (17.15%),  UTI (15.69%) and in 17.52 %  cases no cause was found. Males predominated with male: female ratio of 1.28:1. Dengue was common during September and October. Malaria and typhoid were more common during July & August.In this study a definite seasonal trend was observed. Public awareness is necessary for prophylaxis for reducing the burden of these diseases.


Dengue, Malaria, U.T.I., Typhoid.

Full Text:



Abrahamsen, SK., Haugen, CN., Rupali, P., Mathai, D., Langeland, N., Eide, GE., etal., (2013). “Fever in the tropics: aetiology and case-fatality – a prospective observational study in a tertiary care hospital in South India.” BMC Infect Dis., 13, 355.

Chandra, S., and Chandra, H., (2013) “Role of Haematological Parameters as an Indicator of Acute Malarial Infection in Uttarakhand State of India.”Meditter J Hematol Infect Dis.,5(1), 1-7.

Chrispal, A.,Boorugu, H.,Gopinath, KG., Chandy, S., Prakash, JA., Thomas, EM., etal., (2010).“Acute undifferentiated febrile illness in adult hospitalized patients: the disease spectrum and diagnostic predictors- an experience from a tertiary care hospital in south India.” Trop Doct;40(4), 230-4.

Ellis, RD., Fukuda, MM., McDaniel, P., Welch, K.,Nisalak, A., Murray, C K.,etal., (2006) “Causes of fever in adults on the Thai- Myanmmar border.” Am J Trop Med Hyg . 74, 108-13.

Ellis, RD., Fukuda, MM., McDaniel, P., Welch, K., Nisalak, A., Murray, CK., etal., (2006). “Causes of fever in adults on the Thai-Myanmar border.” Am J Trop Med Hyg.,74, 108-113.

Ittyachen, AM., Ramachandran, R.,(2015) “Study of acute febrile illness. A 10-year descriptive study and a proposed algorithm from a tertiary care referral hospital in rural Kerala in southern India”. Trop Doct.,45(2), 114-17.

Jairajpuri ZS.Rana, S., Hassan, MJ.,Nabi, F., Jetley, S., (2014). “An analysis of hematological parameters as a diagnostic test for malaria in patients with acute febrile illness: An institutional experience.” Oman Medical Journal.,29(1), 12-17.

Kashinkunti, M D.,Gundikeri, SK., Dhananjaya, M. (2013). “Acute undifferentiated febrile illness-clinical spectrum and outcome form a tertiary care teaching hospital of north Karnataka”.Int J Biol Med Res., 4(2), 3399-3402.

Kasper, MR., Blair, PJ., Touch, S., Sokhal, B., Yasuda, CY., Williams, M., etal., (2012).“Infectious Etiologies of Acute Febrile Illness among Patients Seeking Health Care in South –Central Cambodia.” Am J Trop Med Hyg., 86(2), 246-53.

Kundavaram Paul PrabhakarAbhilash, Jonathan Arul Jeevan, Ramasami, SowmyaSathyendra ,Thanbu David Sudarsanam and George M Varghese. (2016). “Acute undifferentiated Febrile Illness in Patients presenting to a tertiary care Hospital in South India: Clinical spectrum and outcome.” J Glob Infect Dis.,8(4), 147 – 154.

Lathia TB., Joshi, R., (2004). “Can hematological parameters discriminate malaria from non malarious acute febrile illness in the tropics?.” Indian J Med Sci., 58(6), 239-244.

Leelarasamee A.Chupaprawan, C., Chenchittikul, M., Udompanthurat, S., (2004) “Etiologies of acute undifferentiated febrile illness in Thailand.” J Med Assoc Thai, 87, 464-72.

Manock, SR., Jacobsen, KH., de Bravo, NB., Russell, KL.,Negrete, M., Olson, JG., etal.,(2009) “Etiology of acute undifferentiated febrile illness in the Amazon basin of Ecuador.” Am J Trop Med Hyg.,81, 146-51.

Murdoch, D R., Woods, CW., Zimmerman, MD., Dull, PM., Belbase, RH., Keenan, AJ., etal.,(2004). “The etiology of febrile illness in adults presenting to patan Hospital in Kathmandu, Nepal”. Am J Trog Med Hyg., 70, 670-5.

Rani, A., Gupta, A., Nagpal, BN., Mehta, SS., (2018). “Mosquito borne diseases and sanitation in Ghaziabad district, Uttar Pradesh, India.” International J. of Mosquito Research.,5(5), 20-30.

Singh, R., Singh, SP., Ahmad, N.,(2014). “A Study of Etiological Pattern in an Epidemic of Acute Febrile Illness during Monsoon in a Tertiary Health Care Institute of Uttarakhand, India”. JCDR. 8(6), 1-3.

Sripanidkulchai, R., Lumbiganon, P.,(2005). “Etiology of obscure fever in children at a university hospital in northeast Thailand”. Southeast Asian J trop Med public Health. 36, 1243-1246.

Suttinont, C.,Losuwanaluk, K.,Niwatayakul, K.,Hoontrakul, S.,Intaranongpal,W., Silpasakorn, S., etal., (2006).“Causes of acute, Undifferentiated, Febrile illness in rural Thailand: Results of a prospective observational study.” Ann Trop Med Parasitol., 100, 363-70.


  • There are currently no refbacks.