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"3" CAUSES OF COMMON FEVER WITH ONSET OF DIARRHOEA
O P Kapoor
Ex. Hon. Physician, Jaslok Hospital and Bombay Hospital, Mumbai, Ex. Hon. Prof. of Medicine, Grant Medical College and JJ Hospital, Mumbai 400 008.
Although many patients developing diarrhoea due to viral aetiology or bad food may complain of slight fever for a day or so, I am discussing the value of the complaint of diarrhoea in patients presenting with sudden onset of high pyrexia.
It is worth remembering that there are three common fevers in all of which the patient may complain of diarrhoea on the first one or in two days. These are:-
1. Malaria - specially falciparum type
2. Typhoid - this diarrhoea is different than the diarrhoea occurring during the third week of untreated typhoid case, when the intestinal typhoid patches start ulcerating and may also bleed.
3. Amoebic liver abscess - patients having multiple amoebic liver abscesses continue getting diarrhoea, while those with a single abscess may complain of diarrhoea for a day or two.
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