Article: Scrub Typhus: An Uncommon Cause of Pyrexia without Focus
Abstract:
Scrub typhus is a rickettsial disease caused by Orientia tsutsugamushi. Commonly reported from hilly and forest areas, it usually presents with fever, eschar, maculopapular rash, headache, gastrointestinal symptoms and lymphadenopathy. We report a seven year old male resident of Delhi, a non-endemic region, presenting with pyrexia without focus and fluid refractory hypotension, subsequently diagnosed as scrub typhus. Fever responded to doxycycline and child was discharged on day 5. To conclude, rickettsial infections can be seen in non-endemic, urban areas as well and should be suspected and investigated in children presenting with pyrexia without focus, not responding to usual antibiotics.
Dinesh Yadav
Paediatric Intensive Care Unit, Department of Paediatrics, Lady Hardinge Medical College and associated Kalawati Sharan Children’s Hospital, New Delhi
Abhishek Chopra
Paediatric Intensive Care Unit, Department of Paediatrics, Lady Hardinge Medical College and associated Kalawati Sharan Children’s Hospital, New Delhi
Ashok Kumar Dutta
Paediatric Intensive Care Unit, Department of Paediatrics, Lady Hardinge Medical College and associated Kalawati Sharan Children’s Hospital, New Delhi
Sandeep Kumar
Paediatric Intensive Care Unit, Department of Paediatrics, Lady Hardinge Medical College and associated Kalawati Sharan Children’s Hospital, New Delhi
Virendra Kumar
Paediatric Intensive Care Unit, Department of Paediatrics, Lady Hardinge Medical College and associated Kalawati Sharan Children’s Hospital, New Delhi
Keywords
Scrub typhus, Orientia tsutsugamushi
Identifier
https://doi.org/10.3126/jnps.v33i3.8172
Citation
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