Displaying publications 1 - 20 of 53 in total

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  1. Chew PH, Leong LC, Yao SK
    Med J Malaysia, 1982 Dec;37(4):370-2.
    PMID: 7167091
    Matched MeSH terms: Fever/etiology*
  2. Mukherjee AP, Foong WC, Ferguson BR
    Med J Malaya, 1971 Jun;25(4):285-7.
    PMID: 4261302
    Matched MeSH terms: Fever/etiology
  3. Brown GW, Lee CK, Huxsoll DL, Ng TS, Lim KJ, Wan HS, et al.
    PMID: 1030842
    A study of 1,437 unselected febrile patients in rural Malaysia yielded a diagnosis of leptospirosis in 86 (6.0%). The clinical syndrome was mild to moderate in all cases, jaundice was observed in only 2 (2.3%) and no deaths were documented. The diagnosis was not clinically obvious in most cases, and it is apparent that many infections must be going unnoticed at present.
    Matched MeSH terms: Fever/etiology*
  4. Dhunputh P, Acharya R, Umakanth S, Shetty SM, Mohammed AP, Saraswat PP
    Kathmandu Univ Med J (KUMJ), 2021 11 26;19(74):248-252.
    PMID: 34819445
    Background Thrombocytopenia is a common haematological abnormality noted in clinical practice, however, it can be missed in cases where specific investigations are not asked for. Acute Febrile Illness with thrombocytopenia is a diagnostic and therapeutic challenge, as thrombocytopenia has an inverse relation to mortality and morbidity in various febrile illnesses. Vector-borne and zoonotic diseases (like malaria, dengue, scrub typhus, and leptospirosis), infections and sepsis are some of the common causes of fever with thrombocytopenia. Objective To identify the causes of fever with thrombocytopenia, assess the clinical complications associated with febrile thrombocytopenia, and overall study the clinical profile of thrombocytopenia in a tertiary care hospital Method Medical records of all adult patients, admitted to a tertiary level hospital, with fever and thrombocytopenia (platelet count < 1,00,000 /mm3 ) were assessed (from October 2009 to March 2011). Detailed case history, general physical examination findings, routine and specific examinations were recorded according to a pre-decided format. Data were analysed using SPSS 16.0 Result Acute febrile illness with thrombocytopenia was most commonly seen in Dengue patients. Headache and arthralgia were more commonly encountered in scrub typhus. Platelet transfusions were necessitated in a large number of patients, especially in scrub typhus. Malaria patients had the highest mortality rate. Conclusion Acute Febrile Illnesses (AFI) are of varied origins, and proper diagnosis is imperative. The degree of thrombocytopenia in infections has a prognostic value. It can also help in differential diagnosis and clear identification of aetiology of acute febrile illnesses. Timely identification and management of thrombocytopenia in acute febrile illness can positively impact the overall patient outcome.
    Matched MeSH terms: Fever/etiology
  5. Taylor A, Sivarajah A, Kelly DJ, Lewis GE
    Mil Med, 1986 Aug;151(8):442-5.
    PMID: 3093929
    Matched MeSH terms: Fever/etiology*
  6. Khoo BY, Lim KGE, Chia JWZ, Chavatte JM, Ong KH, De PP, et al.
    J Clin Microbiol, 2022 05 18;60(5):e0168521.
    PMID: 35583366 DOI: 10.1128/jcm.01685-21
    Matched MeSH terms: Fever/etiology
  7. Suleiman A, Amir KM, Fadzilah K, Ahamad J, Noorhaida U, Marina K, et al.
    Med J Malaysia, 2012 Feb;67(1):12-6.
    PMID: 22582542 MyJurnal
    Typhoid fever continues to pose public health problems in Selangor where cases are found sporadically with occasional outbreaks reported. In February 2009, Hospital Tengku Ampuan Rahimah (HTAR) reported a cluster of typhoid fever among four children in the pediatric ward. We investigated the source of the outbreak, risk factors for the infection to propose control measures. We conducted a case-control study to identify the risk factors for the outbreak. A case was defined as a person with S. typhi isolated from blood, urine or stool and had visited Sungai Congkak recreational park on 27th January 2010. Controls were healthy household members of cases who have similar exposure but no isolation of S. typhi in blood, urine or stool. Cases were identified from routine surveillance system, medical record searching from the nearest clinic and contact tracing other than family members including food handlers and construction workers in the recreational park. Immediate control measures were initiated and followed up. Twelve (12) cases were identified from routine surveillance with 75 household controls. The Case-control study showed cases were 17 times more likely to be 12 years or younger (95% CI: 2.10, 137.86) and 13 times more likely to have ingested river water accidentally during swimming (95% CI: 3.07, 58.71). River water was found contaminated with sewage disposal from two public toilets which effluent grew salmonella spp. The typhoid outbreak in Sungai Congkak recreational park resulted from contaminated river water due to poor sanitation. Children who accidentally ingested river water were highly susceptible. Immediate closure and upgrading of public toilet has stopped the outbreak.
    Matched MeSH terms: Typhoid Fever/etiology
  8. Fadilah SA, Cheong SK, Raymond AA
    Postgrad Med J, 2000 Mar;76(893):170-3.
    PMID: 10684332
    Matched MeSH terms: Fever/etiology
  9. Lim KH, Liam CK, Vasudevan AE, Wong CM
    Respirology, 1999 Sep;4(3):299-301.
    PMID: 10489679 DOI: 10.1046/j.1440-1843.1999.00195.x
    A 62-year-old man presented with a 3-month history of chronic non-productive cough and unexplained fever. Further questioning revealed that he had headaches and myalgia. Bilateral thickened temporal arteries were noted on physical examination. The erythrocyte sedimentation rate was 96 mm in 1 h. A biopsy specimen of the left temporal artery showed inflammatory changes consistent with the diagnosis of giant cell arteritis. Commencement of prednisolone resulted in rapid and dramatic resolution of his symptoms. Physicians should be aware of respiratory symptoms in patients with giant cell arteritis in order to avoid delay in diagnosis and therapy of this condition.
    Matched MeSH terms: Fever/etiology*
  10. Leung V, Luong ML, Libman M
    CMAJ, 2011 Apr 19;183(7):E423-7.
    PMID: 21262944 DOI: 10.1503/cmaj.092203
    Matched MeSH terms: Fever/etiology
  11. Nor Azizah A, Thong SP, Hung LC
    Med J Malaysia, 2018 08;73(4):257-259.
    PMID: 30121692 MyJurnal
    Kawasaki disease (KD) is an acute systemic vasculitis usually affecting children <5 years old. We report a 44-dayold baby who had persistent fever despite being on antibiotics for presumed sepsis. Erythema of Bacillus Calmette-Guerin (BCG) scar and thrombocytosis were noted on day-2 of illness. Diagnosis of incomplete KD was made on the 10th day of illness. Her fever resolved with intravenous immunoglobulin, but echocardiogram revealed coronary artery aneurysm. High index of suspicion is required to diagnose KD in infants ≤3 months since it is rare and commonly presents with incomplete clinical features. The presence of unexplained fever for ≥5 days with erythema of BCG scar or thrombocytosis in infants should alert the clinicians of KD.
    Matched MeSH terms: Fever/etiology
  12. Israfil SMH, Sarker MMR, Rashid PT, Talukder AA, Kawsar KA, Khan F, et al.
    Front Public Health, 2020;8:567395.
    PMID: 33505949 DOI: 10.3389/fpubh.2020.567395
    Clinical characteristics are essential for the correct diagnosis of diseases. The current review aimed to summarize the global clinical characteristics of the COVID-19 patients systematically and identify their diagnostic challenges to help the medical practitioners properly diagnose and for better management of COVID-19 patients. We conducted a systematic search in PubMed, Web of Science, Scopus, Science Direct, and Google Scholar databases for original articles containing clinical information of COVID-19 published up to 7th May 2020. Two researchers independently searched the databases to extract eligible articles. A total of 34 studies from 8 different countries with 10889 case-patients were included for clinical characteristics. The most common clinical symptoms were cough 59.6, fever 46.9, fatigue 27.8, and dyspnea 20.23%. The prominent laboratory findings were lymphocytopenia 55.9, elevated levels of CRP 61.9, aspartate aminotransferase 53.3, LDH 40.8, ESR 72.99, serum ferritin 63, IL-6 52, and prothrombin time 35.47%, and decreased levels of platelets 17.26, eosinophils 59.0, hemoglobin 29, and albumin 38.4%. CT scan of the chest showed an abnormality in 93.50% cases with bilateral lungs 71.1%, ground-glass opacity 48%, lesion in lungs 78.3%, and enlargement of lymph node 50.7%. Common comorbidities were hypertension, diabetes, obesity, and cardiovascular diseases. The estimated median incubation period was 5.36 days, and the overall case fatality rate was 16.9% (Global case fatality outside China was 22.24%: USA 21.24%, Italy 25.61%, and others 0%; whereas the case fatality inside the Hubei Province of China was found to be 11.71%). Global features on the clinical characteristics of COVID-19 obtained from laboratory tests and CT scan results will provide useful information to the physicians to diagnose the disease and for better management of the patients as well as to address the diagnostic challenges to control the infection.
    Matched MeSH terms: Fever/etiology*
  13. Capeding MR, Chua MN, Hadinegoro SR, Hussain II, Nallusamy R, Pitisuttithum P, et al.
    PLoS Negl Trop Dis, 2013;7(7):e2331.
    PMID: 23936565 DOI: 10.1371/journal.pntd.0002331
    Common causes of acute febrile illness in tropical countries have similar symptoms, which often mimic those of dengue. Accurate clinical diagnosis can be difficult without laboratory confirmation and disease burden is generally under-reported. Accurate, population-based, laboratory-confirmed incidence data on dengue and other causes of acute fever in dengue-endemic Asian countries are needed.
    Matched MeSH terms: Fever/etiology*
  14. Jayaprakash B, Sudha V, Shashikiran U
    Med J Malaysia, 2006 Jun;61(2):242-4.
    PMID: 16898322 MyJurnal
    A 55 year old female presented with fever, skin rash and subconjunctival hemorrhage. She also developed hepatitis. Fever and skin rash lasted for more than three weeks. This patient was diagnosed to have rubella, highlighting the fact that rubella can present with atypical features like prolonged fever and rash, subconjunctival hemorrhage and hepatitis, especially in adults.
    Matched MeSH terms: Fever/etiology*
  15. Rafizah AA, Aziah BD, Azwany YN, Imran MK, Rusli AM, Nazri SM, et al.
    Int J Infect Dis, 2013 Jun;17(6):e394-7.
    PMID: 23357246 DOI: 10.1016/j.ijid.2012.12.012
    To determine the seroprevalence of leptospirosis among febrile inpatient cases in northeastern Malaysia.
    Matched MeSH terms: Fever/etiology
  16. Mortimer RB
    Wilderness Environ Med, 2005;16(3):129-31.
    PMID: 16209467
    This article describes a case of leptospirosis in a man who returned from caving in Sarawak, Malaysia, and includes a discussion of epidemiology, pathophysiology, diagnosis, prevention, and treatment. The patient presented with symptoms of leptospirosis, which was confirmed by microhemagglutination titers. He became infected despite taking doxycycline daily for malaria prophylaxis. Leptospirosis is an important consideration in any returned traveler with fever. The spirochete spreads from animals to humans via water. Caving in tropical endemic zones may increase exposure risk due to the combination of multiple skin abrasions with immersions. Water in caves may increase infection risk because of increased water pH. Standard prophylaxis may be inadequate in cases of high-risk exposures.
    Matched MeSH terms: Fever/etiology
  17. Ramanathan M, Abdullah ADG, Sivadas T
    Med J Malaysia, 1998 Dec;53(4):432-4.
    PMID: 10971990
    This report deals with a young man having prolonged fever presenting with hypercalcaemic crisis. Subsequent investigations confirmed tuberculosis (TB) peritonitis in the absence of pulmonary involvement as the cause of his symptoms. His hypercalcaemia and fever resolved with anti-TB therapy. Abdominal TB needs to be included in the differential diagnosis of otherwise unexplained hypercalcaemia especially in our region where TB is an endemic problem and is treatable.
    Matched MeSH terms: Fever/etiology
  18. San SF
    Med J Malaya, 1971 Sep;26(1):25-9.
    PMID: 4258571
    Matched MeSH terms: Typhoid Fever/etiology*
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