A single-centre experience of scrub typhus in a tertiary care centre - a re-emerging infection

  • Dr. Debananda Sahoo Assistant Professor, Department of Internal Medicine, AIIMS, Bhubaneswar, Odisha, India
  • Dr. Debasish Maikap Senior Resident, Department of Rheumatology, KIMS, Bhubaneswar, Odisha, India
  • Dr. Lalatendu Mohanty Professor, Department of Internal Medicine, KIMS, Bhubaneswar, Odisha, India
  • Dr. Shubhransu Patro Professor, Department of Internal Medicine, KIMS, Bhubaneswar, Odisha, India
  • Dr. Sudhansu Sekhar Panda Professor, Department of Internal Medicine, KIMS, Bhubaneswar, Odisha, India
  • Dr. Ambika Prasad Mohanty Professor, Department of Internal Medicine, KIMS, Bhubaneswar, Odisha, India
Keywords: Scrub Typhus, Eschar, Orientia tsutsugamushi, Acute febrile illness

Abstract

Background: Scrub typhus is a documented disease in Himachal Pradesh, but there have been few clinico-epidemiological studies in this area. The present study is done with IgM ELISA as a diagnostic test which has higher sensitivity and specificity as most of the previous studies had used Weil Felix test as a diagnostic test.

Methodology: This was a prospective observational study. All the patients more than 18 years of age with positive IgM ELISA for scrub typhus with/without eschar were included. The clinical profile was observed. IgM scrub typhus was done by ELISA.

Results: Total of 39 patients were observed between July 2016 to Dec 2016. Maximum patients were observed in August, September, and October. Fever with Headache was the most common presenting complaint. Eschar was present in 10 % patients. Complications were seen in 76.92 %. The mortality rate was 0 %.

Conclusion: The varied presentations and high rate of complications require a high index of suspicion for Scrub Typhus. The general physicians should be sensitized for the early diagnosis and treatment to reduce morbidity and mortality.

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Published
2020-02-13
How to Cite
1.
Sahoo D, Maikap D, Mohanty L, Patro S, Panda S, Mohanty A. A single-centre experience of scrub typhus in a tertiary care centre - a re-emerging infection. Int J Med Res Rev [Internet]. 2020Feb.13 [cited 2020Apr.5];8(1):57-2. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/1101
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Original Article