A CASE OF SCRUB TYPHUS FEVER PRESENTING WITH MULTI-ORGAN FAILURE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 7
Abstract
PRESENTATION OF CASE A 25-year-old female patient with no previous co-morbidities came to General Medicine department of IGIMS, Patna, Bihar with presenting complaints of fever associated with chill and rigor for a duration of 15 days, yellowish discoloration of eyes and urine for a duration of 12 days, decrease urine output for 5 days and constipation for 3 days. She had no previous history of hypertension, diabetes mellitus, tuberculosis, asthma, jaundice and drug abuse. She had history of pain abdomen around peri-umbilical region and pain in bilateral lower limb which subsided after treatment in the periphery by local doctor. She had no history of preceding systemic symptoms prior to the present illness. She had consulted doctor earlier in periphery who referred her to higher centre. On examination of the patient with consent she was found to be conscious, oriented and febrile. Icterus was present but there was no pallor, lymphadenopathy or oedema. On systemic examination, respiratory, cardiovascular, gastrointestinal and central nervous systems appeared to be normal. At the time of admission, she was febrile with pulse rate 108 bpm, BP 120/70 mmHg, respiratory rate 20/min. There was no rash over the exposed skin.
Authors and Affiliations
Sudhir Kumar, Govind Kumar, Jyoti Kumar Dinkar, Mohit Kumar Jaiswal, Jyoti Gautam
Keywords
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- EP ID EP399066
- DOI 10.14260/jemds/2018/215
- Views 85
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