PYREXIA PATIENTS FROM SUB-URBAN REGION, AN ANALYSIS, DIAGNOSIS, MANAGEMENT IN MEDICAL COLLEGE HOSPITAL
Authors: S Afshan. , Adil. A Mohamed , Sudhakar K. , Ramcharan Kattoju Ajai 
Published: September 2023

Pyrexia is the most common presentation in any hospital. Pyrexia can be treated as an outpatient, while some patients
may require admission, investigation, management, and treatment. To diagnose, treat and reduce Primary Objective:
complications. Utilizing all laboratory, x-ray, sonography and other special invest Secondary Objective: igation as adjuvants in best
institutional management. Madha Medical College Hospital & Research Ins Study Site: titute, Kancheepuram March 2018 to Study Duration:
March 2019 103 Retrospective Observational Study Nil Total Number Of Patients: Type Of Study: Conflict Of Interest: Ethical Approval:
Obtained by college board There is signicant morbidity with some mortality w Need For Study: hich can be investigated and managed in
hospitals located on the outskirts and suburban areas. Most of the patients are below the poverty line and belong to the lower middle class,
therefore, they cannot afford to reach the nearest tertiary hospital. A total of Materials And Methods: 103 patients, including 50 males and 53
females, were included in the study. All the patients were clinically evaluated and all necessary investigations were conducted. Symptomatic
treatments for pyrexia, dehydration, oxygen therapy, etc., were administered. High-risk patients were transferred to the intensive care unit, while
the remaining patients were admitted with case sheet recording for regular monitoring of vital parameters until a diagnosis was revealed through
investigations and treated accordingly. Discussion: The majority of pyrexia is self-limiting, likely of viral origin, and some cases require
symptomatic clinical treatment and antibiotics, along with basic patient investigation. In this study, the patients presented with severe
dehydration, delirium, extreme weakness, and hematuria, which warranted admission. The treatment protocol we followed included initial
dehydration correction and pyrexia control. Before starting the antibiotics, blood tests such as RFT, LFT, blood culture, urine routine and culture,
X-ray, and sonography were conducted. Treatment was provided for all systems including CNS for meningitis, abdomen for any organomegaly,
respiratory for infection and pleural effusion, CVS to identify carditis and valvular abnormalities, uid resuscitation, and pain management.
Heart rate, oxygen saturation, blood pressure, and other vitals were regularly checked for potential sources of infection. IV uids, IV antibiotics,
and diet advice were administered as part of follow-up care. Based on symptoms, clinical diagnosis, and investigative ndings, appropriate
treatment is started and followed for response. We found that the number of females Results: is higher by 3% in gender classication (table 1).
The age distribution from 15 - 44 years is the highest, comprising more than 60% (table 2). Fever, cough, myalgia, UTI, and wound infections are
the most common chief complaints (table 3). Type 2 diabetes and hypertension are the most common comorbidities, with over 50% (table 4).
Dehydration, pyrexia, and tachycardia are seen in more than 65% of patients during clinical examination (table 5). Lab investigations showed
leukocytosis, urine positive for infection, and malaria positive in over 35% of the patients (table 6). The primary diagnosis showed viral fever,
UTI, infections, and CVS abnormalities in over 65% of patients (gure 1). Management of patients was done accordingly, with the majority of
patients achieving full recovery. However, some patients were not able to receive treatment due to poor follow-up, while others had
comorbidities that required referral. Additionally, some patients were not willing to undergo treatment due to their low socioeconomic status,
and in some cases, their attendees were also not willing for treatment