Publication:
Scrub Typhus in Children Authors

creativeworkseries.issnISSN 1990-7974 eISSN 1990-7982
dc.contributor.authorZainab, Madiha
dc.contributor.authorGupta, Atul Kumar
dc.contributor.authorGuha, Suparna
dc.date.accessioned2026-01-15T13:32:37Z
dc.date.available2026-01-15T13:32:37Z
dc.date.issued2018
dc.descriptionMadiha Zainab Department of Paediatrics, Vivekananda Institute of Medical Sciences, Kolkata Atul Kumar Gupta Department of Paediatrics, Vivekananda Institute of Medical Sciences, Kolkata Suparna Guha Department of Paediatrics, Vivekananda Institute of Medical Sciences, Kolkata
dc.description.abstractAbstract: Introduction: Scrub typhus is an acute febrile illness caused by infection with rickettsial bacilli Orientia tsutsugamushi. This was a retrospective observational study to study the clinical profile of paediatric scrub typhus, its associated complications and response to treatment Material and Methods: Record files of all patients diagnosed with positive Weil felix (OXK>1:80) and Scrub IgM positive over a period of one year were analysed. Total of 10 cases were diagnosed as scrub with median age of presentation 4.1 years. Results: Fever was present in all followed by pain abdomen (50%), rash. Anaemia (90%), lymphadenopathy (70%) hepatomegaly (100%), Leukopenia was present in those cases with fever <1 week while leucocytosis was found thereafter. Most common complication were hepatitis (100%) shock (50%), acute kidney injury (AKI) 30%, DIC in 20% cases. Secondary HLH was found in 20% and pancarditis in one case. All the cases showed dramatic response to doxycycline. Conclusion: So a high index of suspicion is required to diagnose scrub and early initiation of treatment is essential to prevent mortality from the disease.
dc.identifierhttps://doi.org/10.3126/jnps.v38i1.18659
dc.identifier.urihttps://hdl.handle.net/20.500.14572/4280
dc.language.isoen_US
dc.publisherNepal Paediatric Society (JNPS)
dc.subjectrickettsia
dc.subjectre-emerging infection
dc.subjectmultisystem involvement
dc.titleScrub Typhus in Children Authors
dc.typeArticle
dspace.entity.typePublication
local.article.typeCase Series
oaire.citation.endPage62
oaire.citation.startPage59
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relation.isJournalIssueOfPublication.latestForDiscovery9c9b76e7-fb57-4cec-b616-48a4109b30bf
relation.isJournalOfPublication6f9be05c-05a9-4a3e-a5b5-a19a15ab042c

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