STUDY OF ACUTE KIDNEY INJURY IN TROPICAL ACUTE FEBRILE ILLNESS IN TERTIARY CARE HOSPITAL

Dr. C.M. Atkar, Dr. V.S. Panchalwar, Dr. Chandrashekar Gore, Dr. Shraddha Bhondve

Abstract


Objectives of the study were to study the proportion of acute kidney injury in tropical acute febrile illness as well as to
assess the etiological profile of acute kidney injury in tropical acute febrile illness. Study design was descriptive type. It was
conducted at a tertiary care institute in Maharashtra between October 2014 to November 2016. We recruited 140 confirmed hospitalized cases
of tropical acute febrile illnesses (TAFI) and studied the occurrence of AKI in TAFI by the RIFLE criteria as well as by their association with
established diagnosis of tropical acute febrile illness. Out of total patients, 93 are male and 47 are female. Proportion of AKI in TAFI was 27.86%
in present study. Proportion of AKI was highest in falciparum malaria 10(43.48%).


Keywords


Acute kidney injury, Tropical Acute febrile Illness, Etiological profile

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References


Susilawati TN, McBride WJH. Acute undifferentiated fever in Asia: A review of the literature. Southeast Asian J Trop Med Public Health. 2014; 45(3):719-26.

Basu G, Chrispal A, Boorugu H, Gopinath KG, Chandy S, Prakash JAJ, et al. Acute kidney injury in tropical acute febrile illness in a tertiary care centre-RIFLE criteria validation.Nephrol Dial Transplant. 2011;26(2):524-31.

Joshi R, Colford JM, Jr., Reingold AL, Kalantri S. Nonmalarial acuteundifferentiated fever in a rural hospital in central India: diagnostic uncertainty

and overtreatment with antimalarial agents. Am J Trop Med Hyg. 2008;

(3):393-99.

Leelarasamee A, Chupaprawan C, Chenchittikul M, UdompanthuratSAetiologies of acute undifferentiated febrile illness in Thailand. J Med Assoc Thai. 2004; 87(5):464-72.

Animut A, Mekonnen Y, Shimelis D, Ephraim E. Febrile illnesses of different aetiology among outpatients in four health centers in Northwestern Ethiopia. Jpn J Infect Dis. 2009; 62:107-10.

Kasper MR, Blair PJ, Touch S, Sokhal B, Yasuda CY, Williams M, et al.

Infectious aetiologies of acute febrile illness among patients seeking health

care in south-central Cambodia. Am J Trop Med Hyg. 2012; 86(2):246-53

Jha V, Parameswaran S. Community-acquired acute kidney injury in tropical countries. Nature reviews Nephrology 2013; 9:278-90.

Lameire N, van Biesen W, Vanholder R. The changing epidemiology of acute renal failure. Nat ClinPractNephrol 2006; 2: 364-377

Lameire N, van Biesen W, Vanholder R. The rise of prevalence and the fall of

mortality of patients with acute renal failure: what the analysis of two

databases does and does not tell us. J Am SocNephrol 2006; 17: 923-925

Cerda J, Bagga A, Kher V et al. The contrasting characteristics of acute kidney injury in developed and developing countries. Nat ClinPractNephrol 2008; 4: 138-153

Kanodia KV, Shah PR, Vanikar AV, Kasat P, Gumber M, Trivedi HL. Malaria

induced acute renal failure: a single center experience. Saudi Journal of

Kidney Diseases and Transplantation. 2010 Nov 1; 21 (6):1088.

Vishwakarma RR, Chauhan MS, Joshi PP, Pandharipande MS, Yadav NS, Shinde S, Dadhe K, Chopde S. Acute Renal Failure in Malaria. Parks

Textbook of preventive and social medicine. 20th edition. Jabalpur,India: M/s Banarasidasbhanot publishers 2009; 222-232.

Nair JJ, Bhat A, Prabhu MV. A Clinical Study of Acute Kidney Injury in Tropical Acute Febrile Illness. Journal of Clinical and Diagnostic Research: JCDR. 2016 Aug; 10(8):OC01.

Kumar A, Valecha N, Jain T, Dash A. Burden of malaria in India: retrospective

and prospective view. American Journal of Tropical Medicine & Hygiene 2007;77 (6):69-78.

Eiam-Ong S, Sitprija V. Falciparum malaria and the kidney:a model of inflammation. Am J Kidney Dis 1998; 32:361-75

Barsoum RS. Malaria acute renal failure. J Am SocNephrol 2000; 11: 2147-54.

Sitprija V. Nephropathy in falciparum malaria. Kidney international. 1988 Dec 31; 34(6):867-77.


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