Open Access Review Article

Sudden Cardiac Death

Omar Elsaka

Asian Journal of Medicine and Health, Page 32-41
DOI: 10.9734/ajmah/2021/v19i1130396

Background: Sudden cardiac death (SCD) remains a major open clinical and public health problem, with an estimated 300,000 deaths per year in the United States. The possibility of identifying potential SCD victims is limited by the large size of the large number of SCD victims and the apparent time-dependent risk of sudden death. The latter refers to the tendency of SCDs to detect other cardiovascular events during the most dangerous period of 6–18 months following a major cardiovascular event and the risk of subsequent collapse. The combination of time and lake size provides the basis for future research to find more vulnerable people. Pathologically, SCD can be seen as an interaction between some electrophysiological events that causes abnormalities in cardiac structure, temporal dysfunction, and malignant arrhythmias. Structural deformities represent an anatomical matrix of chronic risk and include the effects of electrophysiological anatomical abnormalities such as coronary artery disease, left ventricular hypertrophy, myopathic ventricles, and bypass leaflets in the myocardium.

Conclusion: Macroscopic cardiac features are common in about one-third of young SCD victims. However, in 79% of them, histological studies reveal hidden pathological features such as local myocarditis, heart disease and motor system disorders. A total of 16 (6%) victims had no evidence of systemic heart disease and the mechanism of SCD was not described.

Open Access Review Article

Awareness of Saudi Population about Causes, Diagnosis and Management of Depression: Review Article

Solaiman Diaa-Aldin Mohamed, Manal Salamh N. Alenazi, Maryam Mohammed M. Alenezi, Noof Saud J. Alenezi, Hajar Salah Khulayf Alenzi

Asian Journal of Medicine and Health, Page 83-90
DOI: 10.9734/ajmah/2021/v19i1130404

Depression is one of the most concerning psychological disorderS of our modern world., That problem with depression seems to the high incidence of the disease especially among the young population between 20-40 and females. Depression incidence has been increasing in the last decades and is widespread in developed countries as it is in the undeveloped ones, Saudi Arabia is no exception., The awareness about the disease is not enough, some of the patients who have the disease are not also aware of it, and even if they do, little they do to combat it.The self-heal methods that traditional healers tryis problematic, because it’s also based on supernatural non-scientific beliefs which sometimes leads to further complications of the patient case, on the other hand the population must be aware of the importance of seeking the help of professional well trained doctors instead.

Conclusion: We need more awareness about the disease, and it’s symptoms and how to deal with probably and when to see a doctor, depression is hazardous because it can lead to some serious social and health issues, and can cause death due to suicide.

Open Access Original Research Article

Online Information Seeking Behavior among Indonesian during the COVID-19 Pandemic

Sulistyawati Sulistyawati, Herman Yuliansyah, Surahma Asti Mulasari, Tri Wahyuni Sukesi

Asian Journal of Medicine and Health, Page 1-7
DOI: 10.9734/ajmah/2021/v19i1130392

Background: The COVID-19 vaccination movement in Indonesia until mid-2021 has still not reached the expected number, which is less than 20% of the Indonesian population who receive the first dose of vaccine. Meanwhile, the government's target for accelerating herd immunity is to achieve immunization coverage of 70% by November 2021. Several issues have arisen regarding the public's reluctance to accept the COVID-19 vaccine, such as vaccine readiness, efficacy, conspiracy, halal issues, and the negative side of this vaccine.

Aims: This study aims to assess the online behavior of the Indonesian community in seeking information related to the COVID-19 vaccine.

Methods: Google trends was used as a data source to see the public interest in several issues including COVID, vaccines, and government policies.

Analysis: The analysis was carried out descriptively.

Results: The results of this study indicate the movement over time of society towards several terminologies in line with events or the implementation of policies in Indonesia.

Conclusion: This research contributes to surveillance of the public's information needs on the COVID-19 issue to avoid misinformation.

Open Access Original Research Article

Antibiotic Susceptibility Pattern of Group A Beta-Haemolytic Streptococcal Throat Isolates of Primary School Children in Rivers State, Nigeria

Wonodi Woroma, Okari Tamunoiyowuna Grace, Opara Peace Ibo

Asian Journal of Medicine and Health, Page 8-16
DOI: 10.9734/ajmah/2021/v19i1130393

Group A beta-haemolytic streptococcus (GABHS) pharyngitis when untreated can cause non-suppurative sequelae such as acute rheumatic fever and post-streptococcal acute glomerulonephritis. Prompt treatment of infected individuals with appropriate antibiotics that the organism is susceptible to, is important in preventing these untoward complications.

This study intends to identify the antibiotic susceptibility of GABHS in Rivers State, Nigeria, and to guide health care workers in choosing effective antibiotic for the treatment of GABHS infections in children.

Methodology: Throat swabs were taken from primary school pupils aged 6 to 12 years in Rivers State between May and July 2015. The throat swabs were cultured using 5% sheep blood agar. Antibiotic susceptibility was carried out on the Group A beta-haemolytic streptococcal isolates. Data was analyzed using the Statistical Package for Social Sciences (SPSS) version 23.0 using descriptive statistics. Chi square tests of significance were used with a 95% confidence interval (P< 0.05).

Results: A total of 18 out of 456 pupils had a positive streptococcal throat culture for GABHS giving a prevalence rate of 3.9%. The isolated GABHS were most susceptible to azithromycin (87%) followed by penicillin (81.5%) and ampicillin (64.8%). The pathogens were least susceptible to tetracycline (37%) and co-trimoxazole (18.5%).

Conclusion: The prevalence of GABHS was low and it was mostly susceptible to Azithromycin and penicillin. These could be used as the drug of choice in the empirical treatment of GABHS throat infection in the locality.

Open Access Original Research Article

Anatomical Variations of Uncinate Process in a Tertiary Care Hospital of a Coastal city in Karnataka

Carol Jacob, Anita Aramani, Basavaraj N. Biradar, Shaista Naaz

Asian Journal of Medicine and Health, Page 17-21
DOI: 10.9734/ajmah/2021/v19i1130394

Introduction: Superior attachment of uncinate process is the most important anatomical landmark in frontal recess surgery. The uncinate process is an integral struc­ture of osteomeatal complex and prevents the direct contact of the inspired air with the maxillary sinus. It acts as a shield and also plays a role in muco-ciliary activity. Anatomic variations of the uncinate process have surgical implications.

Aim: This study was done to know the different variations of superior attachment of uncinate process.

Materials and Methods: In this retrospective observational descriptive study, Computed Tomography (CT) scans of Para Nasal Sinuses (PNS) of 256 patients from Sept 2018 to May 2020 were studied. The results were expressed in percentages and proportions.

Results: Among 256 CT images, 139 belonged to males and 117 females. In the CT films examined, on the right side, the most common attachment of uncinate was to lamina papyracea which was (64.8%) followed by skull base (19.5%) and to the middle turbinate(15.6%). Similar findings were seen on left side.

Conclusion: Uncinate process shows different variations in its superior attachment. Superior attachment to lamina papyracea was the most common attachment of uncinate in our study.

Open Access Original Research Article

Status of Public Primary Schools: Safety, Health Service Provision and Environmental Health Facilities in Sokoto Metropolis, Northwestern Nigeria

Auwal Usman Abubakar, Ismail Abdullateef Raji

Asian Journal of Medicine and Health, Page 22-31
DOI: 10.9734/ajmah/2021/v19i1130395

Background: Provision of security, health services and environmental health facilities in schools is crucial in achieving the overall goals of the School Health Programme (SHP) because of their implications in all the areas of school health and plays an important role in the safety of school community and in retention and learning outcomes of students. We aimed to determine the status of public primary schools with respect to safety, health service provision and environmental health facilities in Sokoto metropolis, Northwestern Nigeria.

Methods: We conducted a cross sectional descriptive study among 40 public primary schools by multistage sampling technique. We collected data with an observation checklist using an electronic Open Data Kit (ODK) and analysed for descriptive statistics using SPSS version 23.

Results: The majority of schools had no security fence 21 (52.5%). Security/ safety teams were present in about a third 15 (37.5%) of the schools. None of the schools had a fire alarm. However, fire extinguisher was available in only 3 (7.5%) of the schools. Health room or sick bay 16 (40.0%) and health register 14 (35.0%) were available in less than half of the schools. Health personnel 3 (7.5%) and school ambulance or school bus 3 (7.5%) were available in only a few schools. First aid box was available in most, 38 (95.0%) of the schools. However, less than half, 17 (40.0%) of the schools had Iodine in their first aid boxes. Presence of handwashing facilities with soap was observed in only 3 (7.5%) of schools. All the schools use open dumping as means of refuse disposal; however, dustbin for refuse collection in classes was observed only in about a third, 15 (37.5%) of the schools. Traditional pit latrine was the most predominant toilet type 27 (67.5%) in schools.

Conclusion: Resources concerning safety, health service provision and environmental health facilities were found to be grossly inadequate in most of the schools observed. Government agencies involved in school administration should collaborate with other stakeholder’s in ensuring the provision of adequate resources for school health program.

Open Access Original Research Article

Study of Antioxidants Vitamin E and Ascorbic Acid level in Pre-eclampsia and Normotensive Pregnant Women Attending the Antenatal Department of a Rural Hospital in Imo State South East Nigeria

C. J. J. Nnamdi, E. C. O. Izuchukwu, I. S. Nwaisaac, S. C. Okeke, F. U. Ukodei, E. C. Ahams, R. I. Uzoma, O. G Iwuagwu, A. A. Ezinwa

Asian Journal of Medicine and Health, Page 47-54
DOI: 10.9734/ajmah/2021/v19i1130400

Background: Deficiencies of nutrition are common during pregnancy especially in developing countries. Pregnant women in developing countries have been reported to consume diets that are low in minerals and vitamins. Inadequate dietary intake during pregnancy might be a high risk not only for the mother but also for the fetus. Deficiencies of antioxidant vitamins have been implicated in various reproductive disorders like infertility, congenital anomalies, pre-eclampsia, placental abruption, premature rupture of membranes, still births and low birth weight.

Objective/Aim: This investigation was performed to compare the level of serum antioxidant vitamin E and Ascorbic Acid status in women with preeclampsia and normal pregnancy in Imo State. It was a randomized cross sectional study of 50 preeclampsia and 50 normotensive pregnant women attending the Dept. of Medicine and Antenatal clinic of specialist Hospital Umuguma, Owerri Imo State Nigeria. The study protocol was reviewed and the ethical committee and participants gave their consent. Data analysis was done using the statistical package for social sciences (SPSS) version 20.0. P-value of < 0.05 was considered to be statistically significant.

Results: The mean antioxidant vitamins E and C were significantly lower in the preeclampsia group (0.29±0.07 and 0.31±0.20mg/dl) against the control (0.64±0.16 and 0.89±0.27mg/dl) P<0.05 respectively.

Conclusion: The study showed significant decrease in the level of vitamin E and Ascorbic Acid suggesting the failure of compensatory antioxidant functions in preeclampsia women.

Open Access Original Research Article

Secondary Infertility in Port Harcourt: Pattern and Socio-Dermographic Relationship

Emmanuel Okwudil Oranu, Gregory Ifechukwude Oyiana

Asian Journal of Medicine and Health, Page 66-74
DOI: 10.9734/ajmah/2021/v19i1130402

Background: Secondary Infertility is viewed as a social stigma, especially in Nigeria, due to the high premium placed on procreation. Observation suggests that this condition is on the increase in our environment. Hence, the need to determine the pattern and the relationship between the socio-demographic factors with infective causes of this condition; which will subsequently allow the tailoring of the individual investigation and subsequent treatment.

Objective: To determine the prevalence and pattern as well as the relationship between the socio-demographic factors with infective causes of secondary infertility among women who attended the gynaecological clinic of the University of Port Harcourt Teaching Hospital (UPTH) between January 2012 and December 2016

Methods: This is a retrospective descriptive study design, based on findings from the folders, admission and outpatient registers, of infertile couples presenting at the gynaecology clinic of the University of Port Harcourt Teaching Hospital, over a five-year period (January 2012 – December 2016). Data were collected from all documented and laboratory findings. The data extracted from the case records were the socio-demographic characteristics of the patient, the duration of infertility as well as the causes. They were analyzed using SPSS version 20.

Results: The mean age of women was 33.14±4.93 years. The prevalence of secondary infertility was 12% of all outpatient gynaecological consultation. The mean duration of secondary infertility was 3 years.

The infective causes of secondary infertility [recurrent pelvic inflammatory disease(PID), sexually transmitted infections(STI), post abortal sepsis, puerperal sepsis, HIV/AIDS, mumps orchitis were commoner among the 31-40 years’ category, (45.8%), the infective causes were also commoner among women with primary level of education, (62.5%, p-value=0.001) as well as women who were self-employed (49%, p-value=0.041). Recurrent pelvic inflammatory disease was identified in majority of cases (37.1%). Abnormal semen analysis, hyper-prolactinaemia and uterine fibroid, also contributed significantly to infertility; 18.5%, 19.7% and 24.3% respectively.

Conclusion:  Infective causes are at the root cause of secondary infertility; the more educated the couple, the higher their socioeconomic status, the lesser the impact of infection on secondary infertility.

Open Access Original Research Article

Female Sexual Dysfunction in a Third Level Health Facility, Southern Nigeria

Oranu Emmanuel Okwudili, Owolabi Ayodeji Oluwaseun

Asian Journal of Medicine and Health, Page 75-82
DOI: 10.9734/ajmah/2021/v19i1130403

Background: Observation during our gynaecology consultations does not tend to agree with reviews in literature suggesting high prevalence of sexual dysfunction. With this background, we decided to subject this general observation to scientific scrutiny to determine the proportion of our patients that actually have sexual dysfunction; and thepredisposing risk factors.

Objective: To determine the prevalence and risk factors associated with sexual dysfunction in females attending the gynaecology clinic of the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt.

Methods: This was a prospective cross-sectional questionnaire based study of 72 females of reproductive age group attending the outpatient gynaecological unit of UPTH. They were interviewed using the Female Sexual Dysfunction Index (FSFI). A total FSFI score of less than 26.5 was indicative of sexual dysfunction. The data were collated and entered into SPSS version23 statistical software which was also used for analysis. A p-value of < 0.05 was considered significant.

Results: The prevalence of sexual dysfunction in females was 61.1% using the FSFI of less than 26.50. The most common type of sexual dysfunction among the respondents was desire disorders (66.7%) followed by disorders of orgasm (62.5%), lubrication (56.9%), arousal (43.1%) and pain (40.3%). Advanced age, higher education, parity and female genital cutting were found to be associated with sexual dysfunction.

Conclusion: The findings in this study showed that a significant number of women in our centre are affected with sexual dysfunction.

Open Access Original Research Article

Direct-Push Blood Transfusion Practice in the Neonatal Unit of a Tertiary Hospital in South-South, Nigeria

E. U. Bassey, S. B. Adesina

Asian Journal of Medicine and Health, Page 91-96
DOI: 10.9734/ajmah/2021/v19i1130405

Introduction: Transfusion of blood is a life-saving intervention in the care of ill neonates. Donated blood is a scarce national resource and must be used in the most efficient way. Exchange blood transfusion using the blood bag is the commonest mode of blood delivery employed. Other modalities of safe and sustainable blood delivery should also be explored, especially where paucity of funds predominates. This study aims to assess the usefulness of the direct push method where applicable, as an alternative to blood bag delivery in neonatal units of resource poor settings.

Methods: A two year retrospective study of newborns admitted in the neonatal wards of the University of Uyo Teaching Hospital. Data obtained were the age, gender, indication for admission, packed cell volume (PCV) before and after transfusion. Blood transfusion was done in aliquots over 24 hours under aseptic conditions, via a peripheral vein. The push and pull method was employed, with no anticoagulant in the syringe. Post-transfusion PCV was done at least 24 hours after the procedure.

Results: Of the one thousand and seventy-seven (1077) admitted neonates, two hundred and thirty-nine (22.2%), received blood products. Of these, twenty-one (8.8%), received a direct whole blood transfusion. Age (days) of the neonates transfused ranged from 1 to 26 days, with a mean of 10.4 ± 8.13. The Packed Cell Volume (PCV) pre-transfusion ranged between 20% - 44%, with a mean of 30.05 ± 6.39 while post-transfusion PCV ranged between 31% to 51%, with a mean of 38.17 ± 5.52(Fig. 1). The commonest indication for transfusion was prematurity, 9(42.8%) and neonatal sepsis 5 (23.8%).

Conclusion: The direct transfusion of blood occasionally used, seems a relatively safe practice to correct mild/moderate anaemia. It also provides sufficient blood, with the advantage of usage when the umbilical cord access is no longer feasible and where cost of blood would otherwise, hinder quick intervention. This practice may need further evaluation by other centers.

Open Access Original Research Article

Study to Evaluate Association of Torch Infection with Bad Obstetric History in Pregnant Women at Sms Medical College and Attached Group of Hospitals, Jaipur

Bhanu Priya Panwar, Rameshwari Bithu, Manju Yadav, Rakesh Kumar Maheshwari, Bharti Malhotra

Asian Journal of Medicine and Health, Page 97-108
DOI: 10.9734/ajmah/2021/v19i1130406

Background: Congenital infections are transmissible in utero and it can lead to serious foetal outcomes. These infections can be early detected in pregnant women with bad obstetric history for better foetal outcomes.

Aim of the Study was to evaluate the association of TORCH infection with bad obstetric history among pregnant women.

Study Design: Observational and comparative study

Place and Duration of Study: Central laboratory, Department of Microbiology, SMS Medical College, Jaipur between April 2020 and September 2021.

Methodology: 260 blood samples of pregnant women (130 with bad obstetric history and 130 pregnant women without bad obstetric history) were collected. and tested for the presence of IgM and IgG antibodies against Toxoplasma gondii, Rubella virus, Cytomegalovirus by Chemiluminescence and Herpes simplex virus using ELISA kits.

Results: Overall TORCH IgM seropositivity in high-risk pregnant women was 17.19%. In pregnant women with bad obstetric history, IgM Seropositivity for Toxoplasma gondii was 3.84% (P value .02), rubella 2.34% (P value .30), Cytomegalovirus 5.47% (P value .08), and 6.25% (P value .56) for Herpes-1 and 2 infections and IgG seropositivity for toxoplasma, rubella, cytomegalovirus and herpes virus was 16.41% (P value .001), 93.75% (P value .11), 98.44% (P value .55), 48.44% (P value .53) respectively. In pregnant women without bad obstetric history, IgM and IgG seropositivity for toxoplasma, rubella, cytomegalovirus and herpes virus was 0/0.77%, 0.76/97.69%, 1.53/99.23% and 4.61/44.62% respectively. The average age of the study population was 27.13 years.

Conclusion: As TORCH infections are transmissible in-utero in all the stages of pregnancy and contributes in neonatal and infant deaths, so early diagnosis and appropriate interventions necessary which help in proper management of the pregnant women.

Open Access Original Research Article

Red Cell Distribution Width in Correlation with Sequential Organ Failure Assessment Score as a Prognostic Marker of Sepsis

Sethuraj Selvaraj

Asian Journal of Medicine and Health, Page 109-113
DOI: 10.9734/ajmah/2021/v19i1130407

Aim: To determine the significance of red cell distribution width as prognostic marker in patients with sepsis. To assess the clinical outcome by correlating red cell distribution width with SOFA score in patient with sepsis.

Methods: This was a prospective study, which was conducted at tertiary care hospital , Pondicherry where we enrolled 71 patients above 18 years of age who had sepsis symptoms admitted in the medical ward/ICU. Patients with sepsis at admission were prospectively evaluated for correlation between RDW value, SOFA score both at admission , day 3 and day 7 with survivors and non-survivors. Besides the groups of raised and normal RDW, study population was further analyzed after categorizing into three RDW groups as follows: ≤14.2%, 14.2–15.2%, and >15.2% as well.

Results: 71 sepsis patient’s age ranged from 25 to 91 years with a mean age of 60.39 years. The male gender was predominant. The causes of sepsis were multifactorial and pneumonia was the prime cause of sepsis. 41-60 and 61-80 years were predominant age groups and equal number of major non- survivors were also belongs to this age groups (14.08% each). The RDW showed highly significant difference between survivors and non-survivors (P<0.0001). The mortality rate was highly significant in moderate and higher RDW groups (P<0.0001). While the RDW values increased, the mortality rate was also increased in the present study. There was a significant association between RDW levels and severity of sepsis that leads to mortality. Comparison of diagnostic accuracy of both RDW and SOFA at the time of admission showed that RDW had 100 % sensitivity and specificity whereas SOFA showed 100 % and 50 % sensitivity and specificity respectively.

Conclusion: By this study we could measure RDW value which is a part of an automated CBC which is a done routinely, which is cheap, easily available parameter on admission can be used as a prognostic marker in patients in sepsis.

Open Access Original Research Article

Predictors of Antenatal Depression in a Tertiary Hospital in Nigeria

Enyidah Nonyenim Solomon, Nonye-Enyidah Esther, Ibiebelem A. Jumbo

Asian Journal of Medicine and Health, Page 59-65
DOI: 10.9734/ajmah/2021/v19i1130411

Background: Antenatal depression is very common in pregnant women all over the world. Women in the developing and poor countries are more at risk. Several risk factors have been identified and some of them may lead to unbearable pregnancy situations, that pose a threat to mother and the baby. If pregnancy must be made pleasurable for mothers, then the risk factors which predict depression in pregnancy must be identified and considered in antenatal care.

Objective: To identify risk factors which are predictors to antenatal depression in pregnant women.

Methods: Within the months of January and February 2021, all the pregnant women who registered for antenatal care in the teaching hospital, who met the study inclusion criteria were assessed for depression using the English version of Edinburgh Postnatal Depression scale (EPDS) and a study designed risk factor questionnaire, which contained socio-demographic variables and other factors. Data obtained were analyzed using the statistical package for social sciences (SPSS) version 23. Variables were compared using chi squared and t-tests and p values < 0. 05 were statistically significant.

Results: Five hundred (500) respondents completed the study, 158 (31.6%) were depressed. Risk factors of co-habiting, threats to life, and/or pregnancy, fight with spouse and other forms of abuse, previous abortions and child health challenges, were predictors of antenatal depression.

Conclusion:  Depression in pregnancy should be part of routine antenatal care by obstetricians noting the predictors.

Open Access Minireview Article

Is Elevated Red Blood Cell Distribution Width Value a Prognostic Marker in Sepsis Patients?

Sethuraj Selvaraj, A. Tumbanatham

Asian Journal of Medicine and Health, Page 42-46
DOI: 10.9734/ajmah/2021/v19i1130397

Sepsis and its complications are a common cause of infectious disease and death in worldwide. But the infection can be challenges to confirm and there is gold standard methods to confirm it. Red blood cell distribution width (RDW) value frequently measured at every complete blood count. In sepsis the RDW morphology changes are believed to be mainly related to prognosis. RDW has also been studied as an independent variable in different predictive score. We systematically review the articles can RDW be used as prognostic marker in patient with sepsis.

Open Access Short Communication

A Short History of the BCG Vaccine

Georgiana Bianca Constantin, Ionuţ Căluian

Asian Journal of Medicine and Health, Page 55-58
DOI: 10.9734/ajmah/2021/v19i1130410

BCG vaccine continues to be controversial, live attenuated BCG is still the only vaccine in use which is able to prevent TB in humans. It is still difficult to determine which strain should be used and further detailed analysis of the genomics and immunogenicity of BCG sub-strains may provide an answer to this important question. The only vaccine available is the BCG (Bacille Calmette-Guerin), that has been used for about 100 years, with remarkable results. The majority of the world followed the lead of Europe and the WHO and introduced routine BCG vaccination according to various schedules. According to the Methodological Guide for the Implementation of the National Program for the Prevention, Surveillance and Control of Tuberculosis, BCG vaccination is indicated for all newborns, at the age of 2-7 days (if there are no contraindications), before discharge from maternity and without preliminary tuberculin test.

Open Access Case Study

Kikuchi Fujimoto Disease: A Case Report with Literature Review

Eshwar Rajesh, Tamilvanan Swaminathan

Asian Journal of Medicine and Health, Page 114-117
DOI: 10.9734/ajmah/2021/v19i1130408

Kikuchi-Fujimoto disease (KFD), also referred to as histiocytic necrotizing lymphadenitis, is an uncommon entity, usually benign, self-limiting disease characterised by fever and regional lymphadenopathy of unexplained aetiology. There is an increase in reported cases of KFD, particularly in Asia. It is important to recognize this condition because it may be confused for systemic lupus erythematosus (SLE), tuberculosis or lymphoma. The knowledge of this condition among clinicians and pathologists can help to avoid misdiagnosis and inappropriate treatment. It must be considered among the differential diagnoses of cervical lymphadenopathy. Here, we present a case of 20-year-old male who came to the hospital with complaints of mild fever, chills, fatigue and cervical lymphadenopathy. After radiological investigations an excisional biopsy of the cervical lymph node was done and the diagnosis of KFD was confirmed. Due to the paucity of cases in literature, reporting this case may help shed light on this rare disease.