Scrub typhus in adults in a teaching hospital in north Karnataka, 2011-2012

Rajoor, Umesh; Gundikeri, Shiddappa K; Sindhur, Jayaraj; Dhananjaya, M

doi:10.4103/1755-6783.140221

Cited by 10 publications

(5 citation statements)

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“…24 It is a blackish necrotic lesion resembling a cigarette burn generally found in areas where the skin is thin, moist or wrinkled, and where the clothing is tight such as over the abdomen, groin and legs. 25 It is noteworthy that only one patient out of 169 tested positive for leptospirosis. There are various reports of leptospirosis outbreaks and its prevalence in various parts of India including the Andamans, Tamil Nadu, Karnataka, Maharashtra, Andhra Pradesh and Orissa; a few cases are also reported from northern India.…”

Section: Discussionmentioning

confidence: 99%

Scrub typhus and leptospirosis in rural and urban settings of central India: a preliminary evaluation

et al. 2019

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Scrub typhus and leptospirosis are bacterial zoonotic diseases reported from different parts of India, whose prevalence in Chhattisgarh is unknown. Our study was carried out to delineate the prevalence of these illnesses there and to assess the clinical profiles of rural and urban patients. A total of 169 patients with acute febrile illnesses (AFI) was enrolled in our study from May to December 2018, of whom 35 (20.7%) tested positive for scrub typhus and only one tested positive for leptospirosis by respective IgM ELISA. Scrub typhus seropositivity was higher in rural patients (25.0%) than in urban (18.1%). Patients in the age group 16–30 years were the most commonly affected. The commonest presenting symptoms were fever with headache (68.57%), extreme weakness (57.14%), myalgia/arthralgia (54.29%) and abdominal pain (51.43%). The preliminary evidence for the presence of scrub typhus in Chhattisgarh necessitates its inclusion in the panel of tests for AFI.

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Section: Discussionmentioning

confidence: 99%

Scrub typhus and leptospirosis in rural and urban settings of central India: a preliminary evaluation

et al. 2019

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“…The mainstay of diagnosis in Rickettsial infection is serology [6]. In resource limited settings like ours, Weil-Felix test is widely used as it enables the clinician to initiate treatment and assess prognosis of the infection.…”

Section: Introductionmentioning

confidence: 99%

Rickettsial Infection in Patients with Acute Febrile Illness at a Tertiary Care Hospital in Bengaluru, India - Serological, Demographic and Clinical Profile

Chunchanur¹,

Shwetha²,

Ambica³

2018

IJTDH

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Background and Objectives: Rickettsial infections are under recognised cause of acute febrile illness (AFI) in India. The reason being low index of suspicion, the absence of specific signs/ symptoms and lack of access to confirmatory laboratory tests. These diseases have a high mortality, which can be averted if diagnosed and treated early. Weil-Felix test is the cheapest and widely used test for diagnosis in India. The present study was undertaken with the objective of evaluating the patients with AFI, for rickettsial infection using Weil-Felix test and study their demographic and clinical profile. Materials and Methods: One hundred Patients with AFI, from June 2015 to December 2016 were evaluated for Rickettsial infection. Detailed history, signs, symptoms were recorded. The serum samples were analysed by Weil-Felix test.

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“…4 While Rajoor et al reported more men to be affected in his place. 7 Only two patients had classical Escher or rash in this current study.…”

Section: Discussionmentioning

confidence: 55%

Clinical Manifestation and Complications of Scrub Typhus Cases: A Hospital-based Observational Study from Rural Part of West Bengal

Sarkar¹,

Acharyya²,

Ghosh³

et al. 2020

IJMEDPH

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Introduction: Scrub typhus is very common re-emerging Rickettsia infection in India and many other South East Asian countries. The unplanned urbanization, deforestation and easy transportation leads to changes of place of occurrence of scrub typhus from hilly and forest terrains to plan land with different clinical manifestation. Aim: This study was conducted to identify the regional characteristic of clinical sign, symptom and treatment outcome of scrub typhus patients admitted in a tertiary level hospital of Murshidabad district of West Bengal. Methods: An observational cross sectional study was conducted among 82 hospitalized scrub typhus patients during September, 2019 to March, 2020. Patients were selected by purposive sampling procedure. Data were analyzed in descriptive statistic. Results: All study participants presented with acute febrile illness with other symptoms like headache, cough, dyspnea, nausea, generalized weakness, abdominal pain and myalgia. On examination, patients had hepatosplenomegaly (21%), lymphadenopathy (7%), pedal edema (14%), Icterus (12%) and eschar (4%). On investigation, elevated ALT (37%), elevated AST (36%), Low platelet count (25%), low Hb% (52%), elevated WBC count (37%) levels were the most common findings. Interestingly few patients diagnosed with co-morbid infections eg: enteric fever (12%), Urinary tract infection (12%), respiratory tract infection (27%), dengue fever (5%) and malaria (2%). Low mortality rate (4%) was observed due to tertiary level health care services and increased awareness among local medical fraternities on scrub typhus apart from lower virulence or indigenous resistance as host or environment factor. Conclusion: Scrub typhus is an important zoonotic disease of variable presentation with low fatality if diagnosed and treated early. It is necessary to include scrub typhus serology test as routine blood test for all acute febrile illness patients for this area.

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Scrub typhus in adults in a teaching hospital in north Karnataka, 2011-2012

Cited by 10 publications

References 0 publications

Scrub typhus and leptospirosis in rural and urban settings of central India: a preliminary evaluation

Scrub typhus and leptospirosis in rural and urban settings of central India: a preliminary evaluation

Rickettsial Infection in Patients with Acute Febrile Illness at a Tertiary Care Hospital in Bengaluru, India - Serological, Demographic and Clinical Profile

Clinical Manifestation and Complications of Scrub Typhus Cases: A Hospital-based Observational Study from Rural Part of West Bengal

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