DOI: 10.36347/sjams.2019.v07i12.046

Pages: 4052-4060

Introduction: Coma is a common problem in general medicine accounts for a substantial portion of admissions to emergency wards and occurs frequently on hospital services. Confusion and a diminished level of consciousness frequently coexist and are caused by many of same diseases. Objective: To find out A Clinical Study on Patients of Fever Followed with Unconsciousness in a Teaching Hospital. Material and Methods: In this study, a total of 50 cases with age ranging from 16 to 65 years, of them 29(58%) male and 21(42%) female, were included .the cases were collected from three medicine units of Rajshahi Medical College Hospital, Rajshahi, over a period from July 2004 to January 2005. All of the patients got admitted through the emergency department. For the purpose of this study, any patient who was admitted in medicine unit with fever followed .with-unconsciousness, developed from any causes were included. Results: A series of 50 adult cases of fever followed with unconsciousness in this dissertation, collected from medical units of Rajshahi Medical College Hospital, which did not include traumatic cases. The preliminary history, physical findings and some routine investigations and specific investigations done to confirm the diagnosis. Majority of patients were of age group 16-20 years (40%). The mean age was 25.8 years. It was found that male (58%) and female (42%). Socioeconomic condition was poor in majority of cases (72%). 78% patients came from rural area. Patients from Rajshahi district were the highest (40%). Majority of patients were students (30%) then farmer (24%). All of the patients were exposed to mosquito bite. In this study 56% patients got complete recovery, 18% recovered with complications, 26% patients died. Important complications were cognitive impairment, headache, cranial nerve palsies, and hemiplegia. The mortality was highest in pyogenic meningitis (50%). Conclusion: Fever with unconsciousness is a common but dangerous clinical problem that