A study on clinico- laboratory parameters of children with scrub typhus in Garhwal region of Himalayan belt

Autor:	Vyas Rathore, Monika Pathania, Ayesha Imran, Gowhar Wani, Anumodhan Gupta
Rok vydání:	2019
Předmět:	Hepatitis medicine.medical_specialty Abdominal pain ARDS business.industry Pleural effusion Eschar Scrub typhus bacterial infections and mycoses medicine.disease Dermatology Rash medicine medicine.symptom business Meningitis
Zdroj:	Pediatric Review: International Journal of Pediatric Research. 6:91-96
ISSN:	2349-3267 2349-5499
Popis:	Background: As there is paucity of data on Scrub typhus from Garhwal belt. So, to bridge this gap we conducted this study and tried to bring awareness about Scrub typhus. Methods: This is a descriptive study of 40 patients who were ELISA positive for Scrub typhus. A detailedhistory, demographic details, clinical features, complications, routine laboratory parameters and their relation with and without eschar was noted. Results: On analysis of demographic details, majority of scrub typhus patients belonged to Hilly district, Rudraprayag of Garhwal region. Common signs included fever (100%), lymphadenopathy and splenomegaly (70%), hepatomegaly (55%), rash (37%), eschar (35%), meningitis (20%), hepatitis and epistaxis (5%), pleural effusion, sub-conjunctival hemorrhage and ARDS (2.5%). Presence of eschar was strongly associated with abdominal pain, facial edema, meningitis and ARDS. Conclusion: Early diagnosis with high index of suspicion and timely treatment in children from hilly area with acute febrile illness decreases the mortality and leads to better prognosis.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::1d929b2dfedc35499be8bb65c817028c https://doi.org/10.17511/ijpr.2019.i02.09 Zobrazit plný text záznamu