CLINICAL PROFILE OF RICKETTSIAL INFECTION IN VIJAYAPUR, NORTH KARNATAKA- A RETROSPECTIVE STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 22
Abstract
BACKGROUND We wanted to analyse the clinical profile of Rickettsial cases with an emphasis on epidemiology, clinical features, diagnosis and management issues of these infections, in a major tertiary referral medical college hospital in Vijayapur. METHODS We have summarized the data from 113 hospitalized patients who were laboratory confirmed for Rickettsial infection at Al Ameen Hospital, Vijaypur. Patients were treated as per recommendations of Tick-Borne Rickettsial Diseases Working Group of Centre for Disease Control (CDC), Atlanta, for management of Rickettsial infections. RESULTS 312 cases from June 2017 to December 2018 were studied retrospectively for patient’s demography, clinical presentation, treatment and outcome. Patients with history of fever of 2-4 weeks and positive Weil-Felix test, a negative malaria, chikungunya and dengue serology were diagnosed as probable rickettsial disease positive. Four patients had skin rashes. 3 persons had eschar at presentation. Number of males affected was marginally higher in number. 44 cases belonged to the rural areas surrounding Vijayapur city. No deaths were recorded. CONCLUSIONS Rickettsial fever is not a common diagnosis for fever because of nonspecific signs and symptoms, and absence of widely available sensitive and specific diagnostic tests. Failure of timely diagnosis leads to significant morbidity and mortality. Some patients with rickettsial diseases might initially receive an alternative diagnosis, and be empirically treated with antibiotics inactive against rickettsia. However, treatment for this disease is easy, affordable and often successful with good response if diagnosed with a higher index of suspicion than is being warranted at the present juncture.
Authors and Affiliations
Satish Talikoti, Nijora Deka
Keywords
Related Articles
- EP ID EP667285
- DOI 10.18410/jebmh/2019/315
- Views 106
- Downloads 0
ANTIMICROBIAL SENSITIVITY OF MULTIDRUG-RESISTANT ACINETOBACTER BAUMANNII IN A TERTIARY CARE HOSPITAL OF PATNA
BACKGROUND Acinetobacter spp. has emerged as an important nosocomial pathogen especially in ICU settings. Acinetobacter baumannii is the most commonly isolated species among different Acinetobacters and is associated wit...
EVALUATION OF SERUM CHOLESTEROL, AMINO TRANSFERASES, GAMMA GLUTAMYL TRANSFERASE AND CREATIVE KINASE IN RED YEAST RICE (MONACUS PURPUREUSFERMENTED RICE) FED RATS
BACKGROUND AND AIMS The purpose of this study was to determine the efficacy of red yeast rice (Monascus purpureus-fermented rice) in lowering cholesterol in the blood. At the same time, alanine aminotranferase (ALT), asp...
A CLINICAL STUDY OF SCREENING AND GRADING OF RETINOPATHY OF PREMATURITY IN THE UNIVERSITY HOSPITAL OF SOUTH INDIA
BACKGROUND Retinopathy of prematurity is a leading cause of blindness among premature infants. This study was undertaken to develop an effective screening programme to access such premature infants especially for this di...
A PROSPECTIVE STUDY ON OUTCOME OF ENDOSCOPIC OPTIC NERVE DECOMPRESSION FOR VISUAL LOSS AFTER CRANIO - ORBITAL TRAUMA
Optic nerve damage after cranio-orbital trauma is Traumatic Optic Neuropathy (TON). The optic nerve may be damaged directly or indirectly after cranio-orbital trauma as a result of transection of nerve fibers, interrupti...
AN UNUSUAL CASE OF AMEGAKARYOCYTIC THROMBOCYTOPENIA
Acquired Amegakaryocytic thrombocytopenia (AAT) is a rare hematological disorder characterized by bleeding and severe thrombocytopenia with marked reduction or absence of megakaryocytes in the bone marrow. Prompt recogni...