Clinical Profile of Scrub Typhus in Pregnancy in Sub-Himalayan Region

Kumar, Ritesh; Thakur, Shruti; Bhawani, Rajesh; Kanga, Anil; Ranjan, Asha

doi:10.1007/s13224-015-0776-8

Cited by 23 publications

(44 citation statements)

References 10 publications

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“…14% of our patients had lymphadenopathy (LAP) while LAP in 17% of cases. 8 Lymphadenopathy is common in scrub typhus that was seen in our study also. 9 Hepatomegaly in 0.9%, splenomegaly in 22% and hepatosplenomegaly in 6.9% cases while in our study figures were 4.4%, 8.3% and 3.3% respectively.…”

Section: Discussionsupporting

confidence: 72%

“…A study conducted in 2016 in the same institute reported history of fever in 99.9%, eschar in 40%. 8 In our study 21% patients had eschar. 41.7% from study done and 46% from Pondicherry, while most studies of the Oriental countries had eschar in 60-70% patients.…”

Section: Discussionsupporting

confidence: 48%

“…9 Hepatomegaly in 0.9%, splenomegaly in 22% and hepatosplenomegaly in 6.9% cases while in our study figures were 4.4%, 8.3% and 3.3% respectively. 8…”

Section: Discussionmentioning

confidence: 99%

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Clinical profile of scrub typhus patients in a tertiary care centre in Himachal Pradesh, India

et al. 2019

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Background: Scrub typhus a zoonotic disease caused by gram negative bacteria O. tsutsugamushi, is endemic in Himachal Pradesh. This illness occurs mainly in monsoon and post monsoon season. study design of this study was conducted in a tertiary care centre in Himachal Pradesh between July 2015 and June 2016. All the indoor patients with age above 18 years with a diagnosis of scrub typhus were included in this study.Results: Out of total 180 patients, 130 were female patients. Most patients were in the age group 21-30 (23.3%). All the patients presented with history of fever, but 54 patients presented with high grade fever. Other Most common symptom was chills and rigours (81%), followed by vomiting and headache each 32%, cough 31%. On examination 21% patients had eschar,14% patients had lymphadenopathy. Most number of patients presented in the month of September (51.6%), followed by August (33.3%).Conclusion: Scrub typhus being an important differential of acute undifferentiated fever in this region, should not be missed by primary care physicians, as once multi organ dysfunction sets in, mortality rate starts rising. So, there is a high need of sensitization of doctors and people about this illness so that early diagnosis and early treatment can be ensured.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionsupporting

confidence: 48%

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Clinical profile of scrub typhus patients in a tertiary care centre in Himachal Pradesh, India

et al. 2019

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“…The period of the hot bath therapy carried out by the indigenous midwives has similarities with the phases of the lochia release. The lochia that comes out within a span of 3 days is lochia rubra with a dark red color that tends to be blackish, the lochia serosa comes out from day 4 to day 10 in brownish pink (pinkish brown), lochia alba comes out after day 10 in yellowish (Kumar, Thakur, Bhawani, Kanga, & Ranjan, 2016;Ricci & Kyle, 2009). A woman will not only experience changes in her reproductive organs but also throughout the body especially the body's adaptation to fluid and blood metabolism (Kumar et al, 2016).…”

Section: Treatmentmentioning

confidence: 99%

Hot Bath Therapy for Postpartum Mothers: The Ethnocaring Practice in the Muna Tribe, Southeast Sulawesi, Indonesia

Indriastuti¹,

Tahiruddin²

2019

PHI

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Background: Postpartum mothers are vulnerable to postpartum fatigue, delivery process fatigue, and role transition. The unknown fatigue can trigger stress and anxiety that will lead to postpartum blues and postpartum depression. The ethnocaring of the Muna tribe has a series of care that can prevent postpartum fatigue, including a hot bath. Objective: To explore the ethnocaring practice on the postpartum care method in the Muna tribe using hot bath and analyze it scientifically. Methods: This study was a qualitative study with an ethnographic approach. The participants were 15 Muna’s indigenous midwives and 4 Muna’s mothers. Snowball sampling was employed to select the samples. The data were collected through in-depth interviews, focus group discussion and participatory observation. The data validity was made by completing the trustworthiness criteria process.Results: The results of the study were described into 3 themes, namely equipment, treatment, and prohibition. The equipment theme describes tools and materials. Conclusion: The ethnocaring therapy of a hot bath in Muna’s postpartum mothers has healthy benefits namely for relaxation, increasing the oxygen uptake, increasing concentration and revitalizing the reproductive organs.

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“…Scrub typhus once confined to a few geographical locations in "Tsutsugamushi triangle" has now become an emerging infection, with reports from almost every Indian state. [1][2][3][4][5][6][7] Availability of ST ELISA kits has facilitated reporting of ST cases from hitherto unknown areas. Presence of typical eschar is an important finding in febrile patients with ST, but the absence does not exclude it.…”

Section: Introductionmentioning

confidence: 99%

Gastrointestinal Manifestations of Scrub Typhus in Children and Adults from Puducherry and Neighboring Tamil Nadu State, India

Anitharaj¹,

Gunasekaran²,

Pradeep³

et al. 2017

Journal of Gastrointestinal Infections

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Scrub typhus (ST) is reported from almost every Indian state. In our tertiary care teaching hospital at Puducherry, we looked for gastrointestinal (GI) manifestations of ST in children as well as adults and correlated with laboratory findings. We examined 588 serum samples for immunoglobulin M (IgM) antibody against Orientia tsutsugamushi by enzyme-linked immunosorbent assay (ELISA) and observed that 335 (56.97%) of these clinically suspected ST patients were positive, comprising 134 children and 201 adults. Statistically significant (p ≤ 0.05) number of adults had nausea (p = 0.000) and abdominal pain (p = 0.020) than children. Similar trend was observed in adults with reference to increased liver enzymes (aspartate aminotransferase/alanine aminotransferase/alkaline phosphatase; p = 0.000), creatinine (>1.0 mg/dL; p = 0.007), and platelet count (≤1.5 lakhs/mm 3 ; p = 0.026). Rash in children is the only statistically significant manifestation than adults (p = 0.03). More number of children were positive than adults, but without any statistical significance, with reference to other parameters like cough/expectoration (p = 0.735), hepatomegaly (p = 0.730), and eschar (p = 0.721).

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Clinical Profile of Scrub Typhus in Pregnancy in Sub-Himalayan Region

Cited by 23 publications

References 10 publications

Clinical profile of scrub typhus patients in a tertiary care centre in Himachal Pradesh, India

Clinical profile of scrub typhus patients in a tertiary care centre in Himachal Pradesh, India

Hot Bath Therapy for Postpartum Mothers: The Ethnocaring Practice in the Muna Tribe, Southeast Sulawesi, Indonesia

Gastrointestinal Manifestations of Scrub Typhus in Children and Adults from Puducherry and Neighboring Tamil Nadu State, India

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