Abstract: Scrub typhus is a re-emerging acute febrile illness of variable severity caused by bacteria of the family Rickettsiaceae called Orientia tsutsugamushi. The aim of the present study is to report and describe the clinical and laboratory manifestations of paediatric scrub typhus diagnosed in RMMCH Annamlai nagar, Chidambaram. The study was conducted between the periods of May 2015 to September 2015. The case sheets of acute febrile illness were retrieved and reviewed retrospectively. A total of 27 patients diagnosed as scrub typhus on the basis of eschar or specific test were included in the study. They presented with sub acute fever (median, 9 d) with eschar 88% hepatomegaly 44%, cough 44%, vomiting 40 % splenomegaly 37% , chills and rigor 29% abdominal pain 22% , tachypnea 18% headache /bodyache 14% lymphadenopathy 7% and history of mite bite were rare. Blood leucocyte counts were usually normal but 26% of patients were thrombocytopenic. Elevated sgot /sgpt /bilirubin were seen in majority of patients (96%). The patients were treated with Doxycycline and Azithromycin and the fever subsided with a mean of 6 days. More number of echar, vomiting, hepatomegaly and splenomegaly were reported in Chidambaram area, when comparing with other geographical areas such as Thailand & North east India.
Keywords: scrub typhus, Rickettsiaceae, Orientia tsutsugamushi, Escher, hepatomegaly and spleenomegaly.
Title: CLINICAL AND LABORATORY MANIFESTATION OF PAEDIATRIC SCRUB TYPHUS IN CHIDAMBARAM REGION, TAMILNADU
Author: AJITH BABU, ALBIN K MATHEW, ADHIN ANTONY XAVIER, CHIDAMBARANATHAN.S
International Journal of Healthcare Sciences
ISSN 2348-5728 (Online)
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