Changing Trends in the Clinical Suspicion of Scrub Typhus in Acute Febrile Illness Patients
| Autor: | Rajat Shukla, Ajay Kumar, Amit Katya, K. K. Kompella, Somali Pattanayak, Anand Menon, M. Sasikanth |
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| Jazyk: | angličtina |
| Rok vydání: | 2024 |
| Předmět: | |
| Zdroj: | Journal of Marine Medical Society, Vol 26, Iss 2, Pp 328-330 (2024) |
| Druh dokumentu: | article |
| ISSN: | 0975-3605 2589-1235 |
| DOI: | 10.4103/jmms.jmms_10_23 |
| Popis: | Introduction: Scrub typhus is an important and widespread cause of acute febrile illness (AFI), which can be diagnosed easily by serological assay. Methods: All cases of AFI were sent for Scrub Typhus serology by rapid Enzyme Linked Immuno-Sorbent Assay (ELISA) method. Anyone found positive was admitted for further evaluation. Results: In this series 80 % had liver abnormality, 80 % had ARDS, 40 % had renal failure, 40 % had eschar and 80 % of them had MODS. Only 20 % had clinical features of encephalitis with MRI brain haemorrhagic transformation of infarct. All patients responded well to treatment with Doxycycline with hospitalization of around 7-10 days. Conclusion: This case series highlights the importance of keeping a high index of clinical suspicion to exclude scrub typhus in all AFI patients. |
| Databáze: | Directory of Open Access Journals |
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