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Etiology of Fever of Unknown Origin in Children from Mumbai, India

Amruta Avinash Landge1, Tanu Singhal2

  • 1Department of Pediatrics, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India.

Indian Pediatrics
|February 4, 2018
PubMed

Insights

This study investigated prolonged fever in 49 children in Mumbai. Infections were the primary cause in most cases, highlighting the need for prompt diagnosis of pediatric fever.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Rheumatology

Background:

  • Prolonged fever, defined as fever lasting more than seven days, presents a diagnostic challenge in pediatric care.
  • Identifying the etiology of persistent fever is crucial for effective treatment and management in children.

Purpose of the Study:

  • To describe the etiologic spectrum of prolonged fever in children presenting to a tertiary care hospital.
  • To determine the frequency of different causes of fever lasting over seven days in a pediatric population in urban Mumbai.

Main Methods:

  • A descriptive study was conducted on 49 children with fever exceeding seven days.
  • Data were collected at a tertiary hospital in urban Mumbai, focusing on diagnostic outcomes.

Main Results:

  • An etiologic diagnosis was achieved in 88% of the evaluated children.
  • Infections accounted for the majority of cases (79%), followed by collagen vascular diseases (14%) and other causes (7%).

Conclusions:

  • Infections are the predominant cause of prolonged fever in children in this urban Indian setting.
  • Prompt and thorough diagnostic evaluation is essential for children presenting with persistent fever to identify underlying causes, predominantly infections.

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