Acute Kidney Injury in Tropical Acute Febrile Illness of Malwa Region
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 3
Abstract
Abstract: Tropical Acute Febrile Illness (TAFI) is defined as all acute febrile syndromes with oral temperature over 37.5oc within the last 24 hours and less than two weeks, in tropical and sub-tropical developing countries with nonspecific symptoms and signs. Addressing the unique circumstances and needs of developing countries, especially in the detection of AKI in its early and potentially reversible stages to prevent its progression to kidney failure requiring dialysis, is of paramount importance. This study is conducted with the objectives to highlight the occurrence of acute kidney injury by the RIFLE criteria as well as their association with requirement for RRT and in-hospital mortality in patients with established diagnosis of tropical acute febrile illness, common being malaria, salmonellosis, dengue and leptospirosis scrub typhus in central India. RRT requirement was 0(0%) among (12) total cases of vivax malaria and 0(0%) amongs (4) total AKI in vivax malaria. RRT requirement was 0(0%) among (12) total cases of leptospirosis and 0(0%) amongst (5) total AKI in leptospirosis. RRT requirement was 4(10.81%) among (37) total cases of dengue and 4 (40%) amongst (10) total AKI in dengue.In present study most common TAFI was malarial fever 44 (31.43%), followed by dengue fever 37 (26.43%), enteric fever 31 (22.14%), scrub typhus 16 (11.43%), leptospirosis 12 (8.57%). In malarial fever plasmodium falciparum (23) contributes to maximum number of cases followed by vivax malaria (12) and mixed malaria (9). In this study out of total (39) AKI patients, 25.64%(10) AKI caused by falciparum malaria, another 25.64%(10) AKI by dengue fever, 12.82%(5) AKI by leptospirosis, vivax and scrub typhus each contribute to 10.26%(4) of AKI, mixed malaria and enteric fever each contributes to 7.69%(3) of AKI. Hence maximum burden of AKI was due to falciparum malaria and dengue fever.
Authors and Affiliations
Dr. Atishay Jain, Dr. Akanksha Jain
Keywords
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