Scrub typhus in a febrile patient and challenges faced in a diagnosis-constrained health centre: A case report

Scrub typhus is an acute febrile bacterial illness and has a high mortality if left untreated. It is caused by bacterium called Orientia tsutsugamushi which is transmitted to humans as zoonosis by bite of chigger mites that are infected by the bacterium. The diagnosis is based on clinical features a...

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Main Authors: Tej Nath Nepal, Sonam Drukpa
Format: Article
Language:English
Published: SAGE Publishing 2023-11-01
Series:SAGE Open Medical Case Reports
Online Access:https://doi.org/10.1177/2050313X231209684
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author Tej Nath Nepal
Sonam Drukpa
author_facet Tej Nath Nepal
Sonam Drukpa
author_sort Tej Nath Nepal
collection DOAJ
description Scrub typhus is an acute febrile bacterial illness and has a high mortality if left untreated. It is caused by bacterium called Orientia tsutsugamushi which is transmitted to humans as zoonosis by bite of chigger mites that are infected by the bacterium. The diagnosis is based on clinical features and specific laboratory tests. Treatment of Scrub typhus is done with antibiotics and symptoms management. This report is a case of a 24-year-old female febrile patient who presented with complications of Scrub typhus due to missed diagnosis at Primary Health Centre and managed at district hospital. This case report highlights the challenges faced by health workers in management of acute febrile illness in a diagnosis-constrained setting.
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spelling doaj.art-1e25f1ab8a8d48ce83d0b7ef4f4e62392023-11-06T14:33:24ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-11-011110.1177/2050313X231209684Scrub typhus in a febrile patient and challenges faced in a diagnosis-constrained health centre: A case reportTej Nath Nepal0Sonam Drukpa1Gedu Hospital, Chhukha, BhutanTsimalakha Hospital, Chhukha, BhutanScrub typhus is an acute febrile bacterial illness and has a high mortality if left untreated. It is caused by bacterium called Orientia tsutsugamushi which is transmitted to humans as zoonosis by bite of chigger mites that are infected by the bacterium. The diagnosis is based on clinical features and specific laboratory tests. Treatment of Scrub typhus is done with antibiotics and symptoms management. This report is a case of a 24-year-old female febrile patient who presented with complications of Scrub typhus due to missed diagnosis at Primary Health Centre and managed at district hospital. This case report highlights the challenges faced by health workers in management of acute febrile illness in a diagnosis-constrained setting.https://doi.org/10.1177/2050313X231209684
spellingShingle Tej Nath Nepal
Sonam Drukpa
Scrub typhus in a febrile patient and challenges faced in a diagnosis-constrained health centre: A case report
SAGE Open Medical Case Reports
title Scrub typhus in a febrile patient and challenges faced in a diagnosis-constrained health centre: A case report
title_full Scrub typhus in a febrile patient and challenges faced in a diagnosis-constrained health centre: A case report
title_fullStr Scrub typhus in a febrile patient and challenges faced in a diagnosis-constrained health centre: A case report
title_full_unstemmed Scrub typhus in a febrile patient and challenges faced in a diagnosis-constrained health centre: A case report
title_short Scrub typhus in a febrile patient and challenges faced in a diagnosis-constrained health centre: A case report
title_sort scrub typhus in a febrile patient and challenges faced in a diagnosis constrained health centre a case report
url https://doi.org/10.1177/2050313X231209684
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