Rickettsial fever in paediatric patients: Clinical profile and laboratory investigations
Journal Title: Medpulse International Journal of Pediatrics - Year 2018, Vol 7, Issue 1
Abstract
Background: Rickettsial infections are the most covert re-emerging infections in present times. Initial diagnosis and treatment should be based on a high index of suspicion and appropriate clinical features. Aim: To know various clinical manifestations and laboratory diagnosis of Rickettsial disease in different pediatric age group. Material and Methods: A total of 43 cases who were admitted with complaints of fever and presence of one or more of the clinical features of Rickettsial infection. Laboratory investigations including Weil-Felix test were done. Rathi Goodman Aghai (RGA) clinical scoring system for spotted fever group was done. Results: Fever was seen as major presenting symptom (100%) followed by maculopapular rash (76.7%), the rash appeared 46-96 hr after fever in 72.1% of cases, conjunctival congestion (55.8%), rash on palms and soles (34.9%), pedal edema (34.9%),purpura (14%) were seen. Laboratory findings showed thrombocytopenia and hyponatremia in 30.2% each. Weil Felix positivity was seen in 72.10% of the case. Conclusion: A proper history and careful physical examination help in the diagnosis of Rickettsial disease. Laboratory tests can be carried out to support the diagnosis. Weil-Felix test can be carried out for early detection of suspicious case in resource limited set up.
Authors and Affiliations
Varun B Kusagur, Chetan K B, K Siddhanth Shetty, Spoorthi S M
Keywords
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