Study of Clinical Profile of Acute Undifferentiated Fever in a Tertiary Care Hospital

Introduction: Major aetiology of acute undifferentiated fevershows wide variation, especially in developing countriesincluding India. Acute undifferentiated fever poses a diagnosticand therapeutic challenges to health care workers, particularlyin limited resources. It is one of the commonest presentingproblem in hospital. It is necessary to know the cause, whichwill be useful to give proper treatment to the patients. Thisstudy was aimed to find out the acute undifferentiated feveraetiologies and clinical pattern.Material and Methods: This study was conducted onhundred patients of acute undifferentiated fever, admittedin Indira Gandhi institute of Medical Science, Patna fromFebruary 2018 to January2019.Result: Acute undifferentiated fever affected all age groupbut most common in 26 to 35 years of age group (29%).One hundred patients were included, 78male and 22female.In this study, Typhoid (41%) was leading cause of acuteundifferentiated fever followed by Malaria (23%), DengueFever (20%), Leptospirosis (5%), Scrub Typhus (3%) andChikungunya (1%). Common symptom was fever (100%),Headache (64%), Vomiting (48%), Rigor and chills (42%)whereas common sign was hepatosplenomegaly (55%).Typhoid fever (41%) was the commonest cause of acuteundifferentiated fever followed by malaria (23%), denguefever (20%), urinary tract infection (5%), scrub typhus (3%)and chikungunya (1%).Conclusion: It is important to know the aetiology andclinical pattern of acute undifferentiated fever for theirproper management and it will help to prevent morbidity andmortality.

Tibial Torsion and Knee Varus Angle: Are These Aetiologies of Hallux Valgus?

OBJECTIVE: The purpose of this study is to evaluate that knee deformity (varus or valgus) due to osteoarthritis of the knee and tibial torsion could be aetiologies of hallux valgus. METHODS: Forty-nine patients (43 females, six males; mean patient age, 69.88±6.12 years) before total knee arthroplasty for advanced primary osteoarthritis were recruited. All deformities were of the left knee. Preoperative torsional computed tomography, anteroposterior (AP) and lateral weight-bearing foot radiographs, AP and lateral weight-bearing knee radiographs, and long-leg standing AP views were obtained for each patient. The correlations between foot angle and knee varus angle or tibial torsion angle were examined. RESULTS: There was no significant correlation between knee varus angle and foot angle. Similarly, there was no significant relationship between tibial torsional angle and foot angle, except talocalcaneal angle (TCA)-lateral (r=0.28). No significant relationships were found between TCA-AP and (1–2 intermetatarsal angle [IMA] and hallux valgus angle [HVA]), or between TCA-lateral and (1–2 IMA and HVA). CONCLUSION: No significant correlations were found between the knee anatomical axis (knee varus angle) and foot angle or between the tibial torsional angle and foot angle. Tibial torsion and knee varus angle were not aetiologies for hallux valgus.