Pyrexia of unknown origin (PUO) have troublesome role for general practice and practitioners Commonest cases which are coming to Indian general practitioners are pyrexia of unknown origin (PUO). The diagnosis & treatment in remote areas without laboratory investigations is very difficult for family doctors. Sometimes patients are not ready for the laboratory tests.
The treatment given to them are most of the time are unnecessary like antimalarials are generally given where there is no malaria at all. The laboratory tests are unreliable in malaria or typhoid fever, like malaria negative when malaria is there or Widal test is less conclusive in a week of time then may be helpful where the testing medicines are given without blood culture which is not possible at peripheral primary health centres or private clinics in Gujarat, India.
