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With increasing number of patients with pyrexia, doctors are often faced with the diagnostic dilemma of a febrile patient who has different types of manifestations. Fever is an important and common presentation of tropical diseases and may sometimes be the only presentation of a serious illness. Diagnosis is often difficult because of the many diagnostic possibilities, symptoms and signs which may often be non-specific and because of doctors’ unfamiliarity with many tropical diseases. Fever is a manifestation of an illness but not an illness itself. By far, the most common cause of fever is infection. However, other causes of fever should always be kept in mind, such as malignancy (especially lymphoma and leukaemia), connective tissue diseases, drugs, pulmonary embolism and other less common causes.

Changing Trends in Pattern of Presentation with Different Types of Pyrexia and Approach to be Made