COMMON ETIOLOGY OF ACUTE FEVER WITH THROMBOCYTOPENIA IN A CHILDREN WEST RAJASTHAN.

Dr. Jasraj Bohra, Dr. Chuba Kumzuk LCR

Abstract


BACKGROUND: Acute fever with thrombocytopenia is a common problem with increased mortality and morbidity if
not diagnosed and treated properly in time. Infection is the commonest cause of thrombocytopenia, thrombocytopenia
associated with fever helps to narrow the differential diagnosis and management of fever.Common causes such as
malaria Unspecified fevers, dengue, chikungunya, enteric fever, septicemia, leptospirosis, rickettsial infections,
typhoid, borreliosis, arbovirus such as dengue or yellow fever,swine flu, rodent-borne viruses su ch as Hanta and Lassa
fever, human immunodeficiency virus (HIV).
Materials and Methods: A total of 300 patients who were admitted to Pediatric department Govt hospital Barmer
Rajasthan India during June 2015 to November 2016 were retrospectively studied.
Results: Most common cause was malaria followed by was unspecified fevers. Only 20 patients had bleeding with
thrombocytopenia .Major incidence manifestation oocur whose platelet count was in range below 10000/ul.
Conclusion: Fever with thrombocytopenia is a very common problem. malaria were the most common followed by
Unspecified fevers and dengue then sepsis. There are only few studies which focus the thrombocytopenia in patient with
fever. therefore well-structured approach that is conducted with awareness of different cause of fever with
thrombocytopenia steamlines the different diagnosis and determine etiology.


Keywords


Fever, thrombocytopenia,bleeding,malaria,dengue.

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