Scrub Typhus – A re-emerging illness in a tertiary care center in southern Odisha
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 7
Abstract
Abstract:Scrub typhus is an acute febrile illness and now one of the important causes of fever of unknown origin (FUO) in paediatric age group. It generally presented with fever along with nonspecific symptoms without any obvious clinical findings. Often you may get eschar which is due to bite of the mite give a strong support for diagnosis but its absence does not rule out scrub typhus. Sometimes it may be complicated with multi organ dysfunction leading to increased morbidity and mortality. To know the incidence, clinical profile and outcome of the scrub typhus in paediatric age group.The study was conducted in the department of paediatrics, M.K.C.G medical college, from September 2015 to August 2016. Total 44 cases were taken in the basis of fever along with presence of eschar. Weil Felix test positive or negative and scrub typhus IgM positive cases were taken. Other causes of prolonged fever were excluded after proper examination and laboratory evaluation.In the present study total 44 children were taken among them 1-5 years age group were most prevalent and male: female ratio was 1.3:1. Fever was the most presenting complaints (100%), other symptoms were vomiting (43.2%), rashes (38.2%), abdominal pain (31.8%), respiratory difficulty (15.9%) and convulsion (9.1%). On examination eschar was present 61.4%, pallor 59.1%, generalised lymphadenopathy 52.3%, hepatomegaly 47.2% and splenomegaly 43%. Bronchopneumonia was the most common (15.9%) followed by meningoencephalitis (13.6%). Other complications were acute renal failure (11.4%), multi organ dysfunction (9.1%), shock (6.8%) and myocarditis (4.5%). Scrub typhus is now a common febrile illness among children.Any child with prolonged fever without any focus always keep scrub typhus in your mind and look for eschar which may clinch your diagnosis. Prompt diagnosis and treatment will definitely reduce morbidity and mortality in children. Keywords:Scrub typhus, organ dysfunction, Bronchopneumonia, eschar
Authors and Affiliations
Odisha Sunil Kumar Agarwalla, Tapan Kumar Biswas, SubhranshuSekhar Dhal
Keywords
Related Articles
- EP ID EP375035
- DOI -
- Views 56
- Downloads 0
Abnormal Cervical Smear in a Tertiary Hospital in Nigeria
Cervical cancer is one of the most common cancers affecting women worldwide, constituting 6% of all female malignancies. It is the most common female genital tract malignancy in Calabar, Nigeria. Although the incidence a...
Knowledge of Hip Fracture and its Risk Factors among General Practitioners
A hip fracture is probably one of the most fatal fractures for the elderly and estimated worldwide to reach 5 million cases annually by the year 2050. Thus, continuing efforts in preventing fractures, with more research...
Comparative Evaluation of the Analgesic Efficacy of Transverses Abdominis Plane Block by Using Levobupivacaine and Levobupivacaine With Magnesium Sulfate in Patients Undergoing Laparoscopic Cholecystectomy Surgery
Abstract: Major abdominal surgeries are associated with severe postoperative pain. If untreated, it can lead to cardiac and respiratory problems thereby increasing postoperative morbidity. Our aim was to evaluate the e...
Incidence of Accessory Head of Biceps Brachi Muscle in Chhattisgarh Population
e supernumerary heads of biceps brachii with rational and gender differences. The origin of heads of biceps brachii may vary from 3 to 7, most commonly 3 heads of biceps brachii is observed around in 10% of population....
Utility of Hounsfield density of urinary stones in predicting the stone clearance rate for ESWL therapy
This study was conducted on one hundred and eight patients to determine the stone clearance rate with respect to NCCT –HU density of the stone. Various statistical measures were applied for assessing the predictability...