Understanding Fever: A Practical Approach for Clinicians

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About this ebook

Understanding Fever: A Practical Approach for Clinicians serves as a valuable guide for healthcare professionals managing fever in tropical regions. The book offers insights into the complexities associated with diagnosing and treating fevers in these settings, with a focus on practical clinical approaches. It addresses the unique challenges posed by tropical fevers, providing a detailed understanding of their causes, clinical presentations, and effective management strategies. The content begins with a broad overview of tropical fevers, discussing the epidemiology and pathophysiology of febrile illnesses common in tropical areas. It covers the impact of various infectious agents and considers how factors such as environmental conditions and socio-economic status influence the prevalence of these fevers. The guide emphasizes the need for a nuanced understanding of fever patterns, especially in resource-limited settings where comprehensive diagnostic facilities may not be readily available. The book then explores different clinical syndromes associated with tropical fevers, emphasizing a syndromic approach to diagnosis. It discusses patterns where fever presents without specific symptoms, cases with coexisting symptoms like rash, thrombocytopenia, respiratory distress, or neurological involvement, and scenarios involving multiorgan dysfunction. This approach aims to help clinicians recognize key features that can guide appropriate diagnostic and therapeutic decisions. In discussing the clinical management of tropical fevers, the book provides practical advice on diagnostic methods, including laboratory tests and imaging, to identify underlying causes accurately. It also covers management strategies that involve both supportive care and targeted therapies, addressing the specific treatment needs for various infectious agents. The content is designed to equip clinicians with the knowledge and tools required for optimal patient outcomes in challenging clinical environments. 

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About the author

Dr. Shweta Gadekar is a distinguished physician and Assistant Professor in the Department of Medicine at Chirayu Medical College, Bhopal. She earned her MBBS from Government Medical College, Nagpur (2009-2014) and completed her MD in Medicine from Indira Gandhi Government Medical College (IGGMC), Nagpur (2016-2019). Additionally, Dr. Gadekar holds PGCDM and is a Fellow in 2D Echocardiography, showcasing her dedication to comprehensive patient care.

Following her Senior Residency at IGGMC Nagpur, Dr. Gadekar has been a dedicated faculty member at Chirayu Medical College for the past three years. Her research work includes multiple ongoing projects, with a focus on advancing internal medicine, and she has authored several publications, including two in international journals. Dr. Gadekar’s excellence in research was recognized with the 1st prize in paper presentation at VAPICON 2019, affirming her commitment to both clinical and academic excellence in medicine.


Dr. Premlata Solanki is an Assistant Professor in the Department of General Medicine at LN Medical College and Hospital, Bhopal. With four years of teaching experience and a specialization in diabetes and emergency medicine, she is a committed educator and clinician dedicated to improving patient outcomes and advancing medical knowledge.

Dr. Solanki began her medical journey with an MBBS degree from MGM Medical College and Research Centre, Indore, in 2007, and later pursued her MD in General Medicine at Gandhi Medical College, Bhopal, graduating in 2016. Her expertise was further enriched during her Senior Residency at Bundelkhand Medical College, Sagar, and AIIMS Bhopal, where she served from 2016 to 2021.

Since 2021, Dr. Solanki has been serving as an Assistant Professor, initially at LN Medical College and subsequently at AIIMS Bhopal in the Trauma and Emergency department, where she demonstrated her dedication to acute care. She rejoined LN Medical College, where she continues to mentor and train future medical professionals. In addition to her role as a professor, Dr. Solanki is certified in diabetes management (CCEBDM) and has contributed to the medical field through five international publications, underscoring her commitment to research and clinical excellence.


Dr. Ankit Tiwari is a Consultant in Internal Medicine at Sagar Multispeciality Hospital, Bhopal, with a robust background in clinical practice and medical education. He completed his MBBS in 2014 from the prestigious Seth G.S. Medical College and KEM Hospital, Mumbai, and pursued his MD in General Medicine from Topiwala National Medical College and BYL Nair Charitable Hospital, Mumbai (2015-2018). Dr. Tiwari further honed his expertise with a Senior Residency at the All India Institute of Medical Sciences, Bhopal, accumulating three years of hands-on experience in internal medicine.

With additional experience as an Assistant Professor at Government Medical College, Nagpur, Indira Gandhi Government Medical College, Nagpur, and LN Medical College, Bhopal, Dr. Tiwari has contributed significantly to both patient care and medical education, with a cumulative teaching experience of 1 year and 9 months. He has authored seven publications, focusing on various aspects of internal medicine and patient outcomes, underscoring his commitment to advancing healthcare through research and clinical excellence. 


Dr. Hindeshwari Rai, MBBS, MD- General Medicine working as Assistant Professor in the Department of General Medicine at Bundelkhand Medical College and Hospital in Sagar, Madhya Pradesh. Known for her dedication to both patient care and medical education, Dr. Rai has contributed significantly to the advancement of clinical practices and the training of future healthcare professionals.

Dr. Rai completed her MBBS at Shyam Shah Medical College in Rewa, Madhya Pradesh in 2013 , and earned her MD in General Medicine at Gajra Raja Medical College in Gwalior in 2017. She further honed her clinical skills through 2 years senior residency at Bundelkhand Medical College, Sagar and AIIMS Bhopal amassing invaluable experience that enhances her teaching and clinical practice.

With over five years of teaching experience, Dr. Rai has been instrumental in implementing competency-based medical education (CBME) and curriculum development through specialized training programs, including the Curriculum Implementation Support Program (CISP) and the Basic Course in Biomedical Research (BCBR), under the National Medical Council (NMC). She is also certified in diabetes management, having completed the Certified Course in Evidence-Based Diabetes Management (CCEBDM).

In addition to her role in medical education, Dr. Rai has contributed to Madhya Pradesh’s initiative to offer medical education in Hindi by translating several key topics in medicine for the MBBS syllabus. Her translation work supports the state’s efforts to make medical knowledge accessible to a broader audience, ensuring that language is not a barrier to quality healthcare education.

Dr. Rai has also authored nine international research papers in peer-reviewed journals, furthering her impact on the medical field. Her combination of clinical expertise, academic dedication, and commitment to inclusive education makes Dr. Rai a respected figure in the field of general medicine and a valued mentor to her students.


Dr. Poorvi is a Consultant in the Department of Paediatrics at Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, India. She has work experience of more than 8 years in eminent hospitals such as Rainbow and Little Star Children’s Hospital. She has vast experience in the clinical field. She is a well-renowned Paediatrician, Neonatologist, and Paediatric Allergy Specialist and her areas of interest involve Neonatology, Childhood Development Disorders, and Critical Care. 

Dr. Poorvi has done Bachelor of Medicine and Surgery (MBBS, 2010-2016) from Bhaskar Medical College - Hyderabad, Telangana, India. She has done her post-graduation in Paediatrics (MD, 2017-2020) from AJ Institute of Medical Sciences & Research Centre - Mangalore, Karnataka, India. 

She has done a Fellowship in Non-Invasive Ventilation (FNIV) from the International School of Non-Invasive Ventilation - Spain, Europe in the year 2024. She has also done the Foundation Course in Palliative Care (FCPC) completed in May 2024 and Foundation Course in Palliative Medicine (FCPM) completed in June 2024 from Trivandrum Institute of Palliative Sciences, Kerala, India.

Dr. Poorvi has completed Post Graduate Diploma in Child Counselling (PGDCC), Diploma in Child Psychology (DCP), Post Graduate Diploma in Nutrition (PGDN), Post Graduate Diploma in Naturopathy (PGDN) in the year 2024 from British Learning, London, United Kingdom.

She is a Life Member of the Indian Academy of Paediatrics, Mumbai, India. She is a fellow member of the International Organization for Academic and Scientific Development (FIOASD). She is also a fellow member of the Non-Invasive Ventilation (FNIV), Spain, Europe.

Dr. Poorvi has done many research paper publications in various esteemed International and National Journals.

Dr. Poorvi has received Bharat Gaurav Puraskar- For outstanding contributions in the field of Paediatrics by KTK Foundation- Safdarjung, New Delhi, India.


Dr. Ayush Pandey is a Consultant in the Department of Pulmonary Medicine at Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, India. He has work experience of more than 8 years and vast experience in the clinical field. He is a well-renowned Pulmonologist and Allergy Specialist and his areas of interest involve Respiratory Diseases, Allergy, Interventional Pulmonology and Sleep Medicine. 

Dr. Ayush has done Bachelor of Medicine and Surgery (MBBS, 2010-2016) from Krishna Institute of Medical Sciences, Karad, Maharashtra, India. He has done his post-graduation in Respiratory Medicine (MD, 2019-2022) from Shree Guru Gobind Singh University (SGT) University, Gurugram, Haryana, India.

Dr. Ayush has done Diploma in Clinical Counselling (DCC) from Apollo Hospitals Educational Foundation (AHERF), Hyderabad, India in the year 2019. He has a Post Graduate Diploma in Clinical Cosmetology (PGDCC) from the University of Greifswald, Germany in the year 2021. He also earned a Post Graduate Diploma in Sexology and Psychosexual Counselling (PGDS) from the WNHO Institute of Sexology (Affiliated with the American College of Sexology, ACS) Florida, USA in the year 2022. 

He has a Post Graduate Diploma in Child Counselling (PGDCC), Diploma in Child Psychology (DCP), and Post Graduate Diploma in Nutrition (PGDND), from British Learning, London, United Kingdom in the year 2022. He has also earned a Diploma in Post-COVID Child Psychology (IDPCCP) from British Learning, London, United Kingdom in the year 2023. He has done an Allergy Asthma Specialist Course (AASC) from Bharati Vidyapeeth Deemed University, Pune, affiliated with International Asthma Services, And American Academy of Allergy, Asthma, And Immunology (AAAAI) - Colorado, USA in the year 2023. 

He completed done Mechanical Ventilation Fellowship Program from the Academy for Clinical Education (ACE) - Jaipur, Rajasthan, India in the year 2024. 

He has done a Fellowship in Non-Invasive Ventilation (FNIV) from the International School of Non-Invasive Ventilation - Spain, Europe in the year 2024.

He has also done a Fellowship in Palliative Care (FPC) from the Institute of Palliative Medicine - Calicut, Kerala, India, and Fundamental Critical Care Support Course (FCCS) from the Society of Critical Care Medicine, Illinois, USA in the year 2024.

He is a Life Member of the European Respiratory Society (ERS) and the Indian Chest Society (ICS). He is a fellow member (FRSPH) of the Royal Society of Public Health, United Kingdom, London. He is also a fellow member of the Non-Invasive Ventilation (FNIV), Spain, Europe.

Dr. Ayush has done more than 10+ research paper publications in various esteemed International and National Journals and is on the Editorial Board of various Journals.

Dr. Ayush has received Bharat Gaurav Puraskar from KTK Foundation for various achievements and contributions in the field of Pulmonology and the Jewel of India Award from KTK Foundation for various achievements and contributions in the field of Pulmonology.

Dr. Ayush has received PhD (Hon) in Internal Medicine & Respiratory Medicine from Central Christian University, USA, and the Peace Convoy Award- Sardar Vallabhbhai Patel Memorial Foundation.


Dr. Md Noor Alam Khan is a dedicated Senior Resident in the Department of Pediatrics at Noida International Institute of Medical Sciences (NIIMS). With six years of rich clinical and academic experience, Dr. Khan brings a strong foundation in pediatrics and a commitment to advancing child healthcare. His journey spans various medical institutions, each contributing to his expertise. Notably, he served as a Consultant Pediatrician at Sachkhand Hospital, Neemrana, Rajasthan, from 2019 to 2020.

Dr. Khan began his medical education with an MBBS from Aligarh Muslim University in 2009, followed by a Diploma in Child Health (DCH) from the same institution in 2016. Pursuing further specialization, he completed his DNB in Pediatrics at Maharaja Agrasen Medical College, Agroha, Hisar, Haryana, in 2020. His professional development continued with a Senior Residency at Saraswati Medical College in Ghaziabad (2022–2023), where he gained extensive practical experience and refined his pediatric skills.

Dr. Khan’s comprehensive qualifications, including a B.Sc., MBBS, DCH, and DNB in Pediatrics, highlight his dedication to exceptional pediatric care. His dual commitment to patient care and academic excellence makes him a valuable asset to NIIMS Noida and a trusted caregiver for his young patients.

In addition to his role as a pediatrician, Dr. Khan is a content creator, running a popular YouTube channel on parenting and child health titled Healthy Child. With over 300,000 subscribers, he serves society by offering valuable insights on child health through online media.


Dr. Maibam Debala Chanu is a highly experienced Consultant Pathologist currently practicing at General Diagnostic International Pvt Ltd, Sanpada, Navi Mumbai. 

Dr. Chanu was commissioned into the Indian Navy as a Short Service Commission Officer in 2005, where she served with distinction for a decade. Her time in the Navy honed her leadership and clinical skills, enabling her to handle critical medical situations with precision and care.

In 2015, Dr. Chanu transitioned from military service to civil practice, further advancing her expertise in pathology. Her dedication to medical excellence continues to define her career, making significant contributions to diagnostic medicine.


Dr. Harsha Gupta is an esteemed medical professional with a rich background in critical care and anesthesia. She completed her MBBS from GMC Bhopal, followed by a DNB from Bhopal Memorial Hospital and Research Center in 2014. Dr. Gupta honed her skills working in the critical care unit at Apollo Hospital, Kolkata, for two years, where she gained invaluable experience in managing critically ill patients.

In 2019, Dr. Gupta earned her IDCCM from the Indian Society of Critical Care Medicine (ISCCM). Her dedication and expertise led to her appointment as an ICU consultant at Chirayu Medical College, where she actively contributed to hospital infection control initiatives and became a key member of the Infection Control Team.

Currently, Dr. Harsha Gupta serves as an Associate Professor in the Department of Anesthesia and Critical Care. In addition to her academic responsibilities, she is the Consultant In-charge of the Critical Care Unit, where she continues to provide exceptional care to patients. Dr. Gupta's commitment to excellence in healthcare and her active participation in infection control activities highlight her as a distinguished leader in her field.


Dr. Rajdeep Paul is a distinguished specialist in Medical Microbiology with over six years of experience in teaching and research. His expertise is backed by a PhD in Medical Microbiology, and he has furthered his specialization with a fellowship in clinical microbiology.

Currently, Dr. Paul serves as an Assistant Professor of Clinical Microbiology at Chirayu Medical College & Hospital in Bhopal. In addition to his teaching role, he is an Infection Control Officer, where he plays a pivotal role in implementing and supervising infection control protocols to maintain a safe healthcare environment.

Dr. Paul is a prolific contributor to the scientific community, with over 50 publications in reputable national and international journals. His contributions are not limited to research; he has also authored Six influential academic books in medical microbiology, which have been instrumental in advancing understanding in the field and improving the management of microbial infections. Dr. Paul's extensive experience, research contributions, and dedication to education make him a highly respected figure in medical microbiology.



Dr. Kuldeep Singh is a distinguished expert in Medical Microbiology with over a decade of teaching experience. Currently, he serves as an Assistant Professor of Clinical Microbiology at Chirayu Medical College & Hospital in Bhopal. Dr. Singh's academic credentials include a PhD in Medical Microbiology, and he has further advanced his specialization by completing a fellowship in clinical microbiology.

Throughout his career, Dr. Singh has made significant contributions to the field, authoring more than 30 publications in esteemed national and international journals. Additionally, he has published two books on medical microbiology, underscoring his commitment to advancing knowledge and educating others in the discipline.

Previously, Dr. Singh held a position as a Demonstrator at AIIMS Bhopal for two years, where he contributed to teaching and research in microbiology. His extensive experience and dedication to both education and research make him a respected figure in medical microbiology, continually advancing the field through his scholarly contributions.


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