Fever during the monsoon season in India can
be deceptive as malaria, viruses causing dengue, chikungunya and
jaundice, and bacteria causing typhoid can all produce fever in this
season,
Following are the Do and Don’t to follow if you have fever in the
monsoon season:
1. No antibiotic should be started unless a diagnosis of typhoid is
confirmed.
2. Cough, eye redness and nasal discharge can also be present in viral
disorders.
3. In dengue, one may have pain with the eye movement.
4. In chikungunya, patients may have fever, rashes and joint pains. The
joint pains will typically increase on compression of the wrist joint.
5. Malaria fever may present with chills and rigors, with no toxemia in
between the fever episodes.
6. In jaundice, fever normally disappears by the time jaundice appears
clinically.
7. In typhoid, patient looks toxic and the pulse rate may be relatively
low compared to the fever.
8. Fever medicines like aspirin should not be given in monsoon season as
many fevers may have low platelet counts.
9. Most viral disorders are self–limiting and resolve within a week.
10. In most monsoon related viral disorders, treatment is adequate
hydration.
11. Fever in the setting of chronic medical disease should not be
ignored and shown to the doctors at the earliest.
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