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Year : 2020  |  Volume : 17  |  Issue : 2  |  Page : 101-104

Clinical manifestations and complications seen with scrub typhus: A case series from indore

1 Consultant Rheumatologist, Apollo Hospitals, Indore, Madhya Pradesh, India
2 Resident, M.G.M Medical College and M.Y. Hospital, Indore, Madhya Pradesh, India
3 Consultant Gastroenterologist, Apollo Hospitals, Indore, Madhya Pradesh, India
4 Department of Medicine, M.G.M Medical College and M.Y. Hospital, Indore, Madhya Pradesh, India

Correspondence Address:
Akshat Pandey
A-4 MIG Colony, Behind Hotel Amaltas, Indore, Madhya Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/am.am_26_20

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Scrub typhus is a zoonotic disease caused by the bite of a mite Orientia tsutsugamushi, a bacterium from the Rickettsiaceae family, which is transmitted to humans by bite of trombiculid mite. Scrub typhus is widely spread all across India, and despite its vast occurrence, it remains underdiagnosed. The probable reasons could be the lack of specific symptoms, poor access to the diagnostic facilities, and low index of suspicion by the clinicians. It is a common trend to rule out the common causes of infection such as malaria, typhoid, and leptospirosis, and then, a good number of cases are ultimately diagnosed as scrub typhus. The common presentation is high-grade fever (98%), tender regional/generalized lymphadenopathy (40%–97%), hepatosplenomegaly, cough, and a characteristic eschar that is found in nearly 50% of cases, which represents the site of bite by the mite. Here, we present with a series of cases from Indore of scrub typhus with pulmonary complications which too were underdiagnosed. Immunoglobulin M typhus (enzyme-linked immunosorbent assay) confirmed the diagnosis, and all three were efficiently managed with doxycycline.

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