Scrub typhus: A case series
Journal Title: Medpulse International Journal of Community Medicine - Year 2018, Vol 8, Issue 3
Abstract
Context: Scrub typhus is an acute febrile illness caused by infection with a rickettsial bacteria namely Orientia tsutsugamushi. The ricketssia is transmitted from rodents to humans by the bite of a larval stage (chigger) trombiculid mite. Objectives: The objective of the present study was to present clinical manifestation, laboratory findings and treatment outcomes of scrub typhus in a tertiary care setting. Methods: This study describes the epidemiologic and clinical profile of eleven consecutive scrub typhus positive adults (08) and children (03) patients who were admitted in a Government Medical College, Nagpur. In all cases, diagnosis was based on detection of antibody against Orientia tsutsugamushi using serological ELISA test. Results: Among the eleven patients five were males and six were females. Their mean age was 45 ± 2.5. Eschar, the pathognomic feature of scrub typhus was present in all the cases. Abdomen, nape of neck, ear lobe, groin and axilla were the observed sites of eschar. One death occurred during treatment on 16th day of admission. Disease occured in persons who were engage in occupational or recreational behavior that brings them into contact with mite-infested habitats such as brush and grass. Conclusion: An early diagnosis and timely antibiotic therapy may prevent further complications. Information, Education and Communication (IEC) is the core for prevention and control of scrub tyhus which should be performed on priority basis in special focus to rural areas.
Authors and Affiliations
Priya L Singh, Vijay N Khandare
Keywords
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- DOI 10.26611/1011838
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