CLINICAL PROFILE OF ACUTE KIDNEY INJURY IN ACUTE FEBRILE ILLNESS WITH THROMBOCYTOPENIA

Abstract

Background:Acute febrile illness is defined as an acute febrile syndrome with oral temperature over 37.5 degree Celsius within last 24 hours and less than 2 weeks of duration with non-specific Symptoms that will not help us to localize to a particular system. Aim:The aim of this study was to- Study the Incidence and Spectrum of acute kidney injury in acute febrile illness with Thrombocytopenia. Materials and Methods:Observational cross sectional study of admitted patients who meet the inclusion and exclusion criteria in Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, from admission to discharge. Results:Stage I acute kidney injury accounts for 84 cases, stage II accounts for 14 cases & stage III accounts for 2 cases. Stage I(84%) acute kidney injury is the most common and majority of cases among the various acute febrile illness with thrombocytopenia compared to stage II(14%) and stage III (2%). Conclusion: Most of the cases had stage I acute kidney injury and recovered completely at discharge. Dengue fever is the most common cases in this study Out of 100 patients >90 mL/min/1.73 m2 is seen in 70 patients, >60 mL/min/1.73 m2 is seen in 16 patients, >15 mL/min/1.73 m2 is seen in 13 patients and 1 patient died.