In an attempt to rationalize the use of intraperitoneal drainage of the subhepatic space after simple, elective cholecystectomy, a prospective study was designed to compare the post-operative course with and without drainage. There was a higher incidence of postoperative fever of unknown origin and wound infection in the drained group. In the group without drainage the hospital postoperative st...

Fever of unknown origin has been defined as axillary temperature higher than 37.8 degrees C on several occasions, persisting without diagnosis for at least 3 weeks in spite of at least 1 week's investigation in hospital. Lately, the definition has been modified and extended to reflect evolutionary changes in clinical practice. In response to this new evolving environment, cases of fever of unkn...

Pyrexia of unknown origin (PUO) is a common occurrence in developing countries and has a long list of known etiologies. Many isolated reports and case series suggest new causative factors for PUO. The present report tries to highlight a rare cause of this condition which has been scarcely documented in the literature. It also reinforces the basics of clinical management i.e., detailed clinical ...

THE first case of leptospirosis in Malaya was encountered by Fletcher in 1925, when he was investigating the' isolation of Rickettsice from cases of fever of unknown origin. Galloway (1926) described four icteric cases with a very severe clinical picture. Fletcher (1928) reported 32 cases investigated at Kuala Lumpur. Since then the disease has been recognized increasingly throughout the countr...