Scrub Meningoencephalitis – A Case Series
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Scrub typhus caused by Orientia tsusugamushi is a common zoonotic disease with high incidence in hilly areas of Manipur. Clinical presentation is variable with high mortality rate. We studied series of scrub cases who presented with features of meningoencephalitis. AIM:To study the clinical and laboratorial presentation of scrub typhus complicated by meningoencephalitisCASE SERIES: We have collected 7 cases of scrub typhus admitted in medicine ward who presented with clinical features suggestive of meningoencephalitis over a period of one year (August 2017 to August 2018). It included 4 males and 3 females. Patients presented with 5-8 days of fever with 1-2 days of altered sensorium, convulsion, ataxia. Neurological examination showed fall in sensorium with neck stiffness. Eschar was present in 3 cases. All routine investigations and fever work up was done. Scrub typhus antibody was positive in all patients. CSF study was done in all cases showed raised protein with low normal sugar and lymphocytosis. Patients were treated with doxycycline or azithromycin along with other supportive measures. Two patients expired others improved without any neurological sequelae.CONCLUSION: All cases of fever with altered sensorium scrub typhus should be considered as a differential diagnosis and empirical therapy should be initiated in those patients comes from high endemic regions.
Authors and Affiliations
Raghavendra Ashok Navi, Haneef Husian T, Vipin PT, Mohammed Jaleel P, Wungreipam Kasar
Keywords
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- EP ID EP428294
- DOI 10.9790/0853-1712087274.
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