Rickettsioses in Sri Lanka – A mini review

Abstract

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Rapid Recovery of Acute Respiratory Distress Syndrome in Scrub Typhus, With Pulse Methylprednisolone and Therapeutic Plasma Exchange

“…Infected trombiculid mites of the genus Leptotrombidium act as definitive hosts or natural reservoirs. Humans can accidentally get infected when bitten by an infected larva of a trombiculid mite (chigger) [ 1 ].…”

“…Disease manifestation varies from a range of non-specific simple febrile illnesses to multi-organ dysfunction. The presence of a characteristic skin lesion, eschar, varies from 25% to 89% among patients with confirmed scrub typhus [ 1 ]. Lung involvement can be diverse, from uncomplicated bronchitis to severe acute respiratory distress syndrome [ 2 , 3 ].…”

“…Scrub typhus is a rickettsia-like zoonotic disease that presents as an acute febrile illness after the bite of an infected mite [ 1 ]. Other common presentations include headache, myalgia, generalized lymphadenopathy, cough, gastrointestinal symptoms, and transient hearing loss.…”