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Tanbir Dhaliwal 16 September 2022
The district civil hospital in Sector 6 is overwhelmed with patients presenting with a fever over 101 F, severe body aches, painful eyes, bleeding, and low platelet count, while the doctors are at a loss about the cause. The beds in the emergency department of the hospital are fully occupied, forcing staff to accommodate two patients on one bed. Amongst the overwhelming numbers, the hospital authorities have approached PGIMER for help, with Dr. Mukta Kumar, Chief Medical Officer (CMO), stating that they have requested the head of the PGIMER epidemiology department to send a team to their hospital to establish the reason behind the sudden rise in fever cases.
Dr. Mankirat, the CMO′s spokesperson, stated that 42 patients with high-grade fever are currently admitted to the hospital. Meanwhile, another doctor stated that out of all the patients arriving in the OPD, they are only admitting those who have bleeding complications, such as nasal bleeding or blood in the urine, and/or those who have a platelet count of less than 20,000 or low blood pressure. He further added that these symptoms are similar to the manifestations presented by dengue shock syndrome.
An expert from PGIMER expressed that multiple reasons can cause fever, such as topical disease, dengue, scrub typhus, viral infection, or viral hemorrhagic fever. He added that they will have to check all clinical parameters to diagnose the disease (s) along with its cause. But several tests will have to be conducted before pointing toward any definite cause.
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