A review of optimizing clinical complexity around fever in Narketpally

 Draft ???

17/05/2025

Draft: Optimizing Clinical Complexity Around Fever in Narketpally

Introduction
Febrile Illness is among the most commonly seen clinical symptomatology and presents a  diagnostic challenge in resource-limited and epidemiologically complex regions like Narketpally, Telangana. This semi-urban setting experiences a broad spectrum of febrile illnesses influenced by seasonal patterns, endemic infections, and a dual burden of communicable and non-communicable diseasesThis review of 77 cases of a wide array of fever diagosis and its management would help us understand the challenges faced by healthcare providers and patients to the challenges faced with this clinical complexity. Optimizing the clinical approach to fever in such a context necessitates a refined, context-specific strategy.

Clinical Complexities and Challenges

  • Diagnostic Overlap: The overlapping symptomatology of many febrile illnesses, such as myalgia, rash, and headache, complicates early diagnosis.

  • Resource Limitations: Limited access to advanced diagnostic tests and imaging in peripheral or primary care settings often leads to over-reliance on clinical judgment.

  • Antibiotic Misuse: Due to diagnostic uncertainty and patient expectations, empirical antibiotic usage is high, increasing the risk of antimicrobial resistance.

  • Continuity of Care: Follow-up is often inadequate due to lack of health records, high patient volume, and socioeconomic barriers.

CASE REVIEW 

Enteric fever - 

fungal -

leptospirosis -

malaria -

sle - 

unclassified - 

dengue - 

culture positive - 

Conclusion
The future of addressing fever and its complexities would involve making PaJR groups to do a root cause analysis , to determine the underlying epidemiological cause of the illness , be it , overcrowding leading to communicable infectious illnesses or a family history of lymphoma causing 'B'-symptoms . This review of 75 cases of a wide array of fever diagosis and its management would help us understand the challenges faced by healthcare providers and patients to the challenges faced with this clinical complexity 


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