Atypical and Severe Manifestations of Scrub Typhus in Children: Hiding without the Rash
Scrub typhus has rarely been reported as a cause of acute febrile illness with Acute Kidney Injury (AKI) and Acute Respiratory Distress Syndrome (ARDS) among children from northern India plains. The diagnostic dilemma is further enhanced when the children do not present with any rash or an eschar....
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2021-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://www.jcdr.net/articles/PDF/14744/48310_CE[Ra]_F(Sh)_PF1(AKA_SL)_PN(KM).pdf |
| Summary: | Scrub typhus has rarely been reported as a cause of acute febrile illness with Acute Kidney Injury (AKI) and Acute Respiratory
Distress Syndrome (ARDS) among children from northern India plains. The diagnostic dilemma is further enhanced when the
children do not present with any rash or an eschar. Three such children (12 year old female girl, three year old female child
and two year old male child) with severe scrub typhus presenting with AKI, ARDS and multi-organ dysfunction respectively are
described in this case series. All were successfully managed with doxycycline and supportive management. This series highlights
the importance of early diagnosis and treatment with a low-cost drug like doxycycline based on high index of clinical suspicion and
appropriate investigations in a case of paediatric scrub typhus. |
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| ISSN: | 2249-782X 0973-709X |