Scrub Typhus: An Emerging Etiology among Undiagnosed Febrile Cases in Western Part of Uttar Pradesh, India

Autor: Asfia Sultan, Afaf Shuaib, Meher Rizvi, Fatima Khan, Rama Chaudhry, Chandan Kumar Thakur
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Journal of Pure and Applied Microbiology, Vol 16, Iss 1, Pp 606-612 (2022)
Druh dokumentu: article
ISSN: 0973-7510
2581-690X
DOI: 10.22207/JPAM.16.1.60
Popis: Scrub typhus is a re-emerging zoonotic rickettsial disease and is prevalent in many parts of India. Scrub typhus in Uttar Pradesh is virtually unknown but has shown emergence in recent reports. In this context, a prospective study was planned to analyze the prevalence and clinic-epidemiological parameters of scrub typhus in febrile patients present in JNMC hospital. Patients of >15 years with undiagnosed acute febrile illness of more than 5 days with or without acute respiratory failure and acute renal failure (ARF) were included in the study. Clinical profile was recorded through predesigned proforma. Blood samples were collected and serological tests were performed. PCR was performed on whole blood samples of positive patients. Total 414 patients, who were negative for other common febrile etiologies, i.e.: malaria, dengue, enteric fever were included in the study. Out of 414 patients, 112 (27%) were found positive for scrub typhus by ELISA and micro-immunofluorescence (MIF). PCR was negative in all cases. Slight male predominance (52.6%) was observed. Significant number of positive cases 90(80.3%) were between 18-46 years of age (P value
Databáze: Directory of Open Access Journals