Pediatric scrub typhus in Southern Kerala: An emerging public health problem
被引:5
作者:
Krishnan, Rekha
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Govt Med Coll, Dept Pediat, Thiruvananthapuram, Kerala, IndiaGovt Med Coll, Dept Pediat, Thiruvananthapuram, Kerala, India
Krishnan, Rekha
[1
]
Pillai, Rajamohanan K.
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Govt Med Coll, Dept Pediat, Thiruvananthapuram, Kerala, India
Dr SM CSI Med Coll, Dept Pediat, Karakonam, IndiaGovt Med Coll, Dept Pediat, Thiruvananthapuram, Kerala, India
Pillai, Rajamohanan K.
[1
,2
]
Elizabeth, K. E.
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Govt Med Coll, Dept Pediat, Thiruvananthapuram, Kerala, IndiaGovt Med Coll, Dept Pediat, Thiruvananthapuram, Kerala, India
Elizabeth, K. E.
[1
]
Shanavas, A.
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Govt Med Coll, Dept Pediat, Thiruvananthapuram, Kerala, IndiaGovt Med Coll, Dept Pediat, Thiruvananthapuram, Kerala, India
Shanavas, A.
[1
]
Bindusha, S.
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Govt Med Coll, Dept Pediat, Thiruvananthapuram, Kerala, IndiaGovt Med Coll, Dept Pediat, Thiruvananthapuram, Kerala, India
Bindusha, S.
[1
]
机构:
[1] Govt Med Coll, Dept Pediat, Thiruvananthapuram, Kerala, India
[2] Dr SM CSI Med Coll, Dept Pediat, Karakonam, India
来源:
CLINICAL EPIDEMIOLOGY AND GLOBAL HEALTH
|
2016年
/
4卷
/
02期
Background: Scrub typhus is a potentially fatal rickettsial infection endemic in Asia. But there are only very few reports of pediatric scrub typhus from Southern Kerala, which is situated in South India. Objective: To study the clinicoepidemiological profile of pediatric patients with scrub typhus in Southern Kerala. Methods: Clinical profile of 108 consecutive, 1- to 12-year-old children diagnosed with scrub typhus admitted in a tertiary care teaching hospital in South India from August 2011 to May 2015 was studied. Results: The median age of affected children was 6.83 years with a male to female ratio 1.42:1. Definite clustering of cases was noted from Nedumangaud Taluk, a hilly area in Trivandrum district (24%). A seasonal pattern was observed with a peak during the months of August-January (84.26%). Most common symptoms apart from fever were cough, abdominal pain, and vomiting. Most common signs were splenomegaly in 68.52% of cases and lymph node enlargement in 59.26% of cases. Eschar was present in 44.44% of cases, with the commonest site being inguinal region. Complications were seen in 9.25% of cases. Myocarditis was the most common complication and one case had associated coronary artery dilatation also. Case fatality rate was only 0.93%. Doxycycline and azithromycin were the antibiotics used. Fever subsided within 24 h of starting treatment in 73.15% of cases and within 48 h in 84.26% of cases. Conclusion: Scrub typhus is a common cause of fever in South India. Awareness among medical professional should be a high priority as late detection is the cause of failure of treatment, complications, and even mortality. (C) 2016 INDIACLEN. Published by Elsevier, a division of Reed Elsevier India, Pvt. Ltd. All rights reserved.
机构:
Department of Medicine, Faculty of Medicine, University of Jaffna, JaffnaDepartment of Medicine, Faculty of Medicine, University of Jaffna, Jaffna
Pradeepan J.A.
Ketheesan N.
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Australian Institute of Tropical Health and Medicine, James Cook University, Townsville CityDepartment of Medicine, Faculty of Medicine, University of Jaffna, Jaffna
Ketheesan N.
Murugananthan K.
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Department of Pathology, Faculty of Medicine, University of Jaffna, JaffnaDepartment of Medicine, Faculty of Medicine, University of Jaffna, Jaffna
机构:
SRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, IndiaSRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, India
Bhat, Nowneet Kumar
Dhar, Minakshi
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SRH Univ, Himaliyan Inst Med Sci, Dept Med, Dehra Dun, Uttarakhand, IndiaSRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, India
Dhar, Minakshi
Mittal, Garima
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SRH Univ, Himaliyan Inst Med Sci, Dept Microbiol, Dehra Dun, Uttarakhand, IndiaSRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, India
Mittal, Garima
Chandra, Harish
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SRH Univ, Himaliyan Inst Med Sci, Dept Pathol, Dehra Dun, Uttarakhand, IndiaSRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, India
Chandra, Harish
Rawat, Anil
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SRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, IndiaSRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, India
Rawat, Anil
Chandar, Vipan
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SRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, IndiaSRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, India
机构:
I Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Kaohsiung Med Univ, Coll Med, Grad Inst Med, Kaohsiung, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Lai, Chung-Hsu
Huang, Chun-Kai
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I Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Huang, Chun-Kai
Weng, Hui-Ching
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I Shou Univ, Dept Hlth Management, Kaohsiung, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Weng, Hui-Ching
Chung, Hsing-Chun
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I Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Chung, Hsing-Chun
Liang, Shiou-Haur
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I Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Liang, Shiou-Haur
Lin, Jiun-Nong
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I Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Kaohsiung Med Univ, Coll Med, Grad Inst Med, Kaohsiung, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Lin, Jiun-Nong
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Lin, Chih-Wen
Hsu, Chuan-Yuan
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I Shou Univ, E Da Hosp, Dept Internal Med, Gastroenterol Sect, Kaohsiung, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Hsu, Chuan-Yuan
Lin, Hsi-Hsun
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I Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
机构:
Mahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India
Stephen, Selvaraj
Kandhakumari, Gandhi
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Mahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India
Kandhakumari, Gandhi
Pradeep, Jothimani
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Mahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India
Pradeep, Jothimani
Vinithra, Shanmugam M.
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Mahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India
Vinithra, Shanmugam M.
Siva, Pakirsamy K.
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Mahatma Gandhi Med Coll & Res Inst, Dept Gen Med, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India
Siva, Pakirsamy K.
Hanifah, Mohamed
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Mahatma Gandhi Med Coll & Res Inst, Dept Gen Med, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India
Hanifah, Mohamed
Vanithadevi, Elangovan
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Mahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India
机构:
Department of Medicine, Faculty of Medicine, University of Jaffna, JaffnaDepartment of Medicine, Faculty of Medicine, University of Jaffna, Jaffna
Pradeepan J.A.
Ketheesan N.
论文数: 0引用数: 0
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机构:
Australian Institute of Tropical Health and Medicine, James Cook University, Townsville CityDepartment of Medicine, Faculty of Medicine, University of Jaffna, Jaffna
Ketheesan N.
Murugananthan K.
论文数: 0引用数: 0
h-index: 0
机构:
Department of Pathology, Faculty of Medicine, University of Jaffna, JaffnaDepartment of Medicine, Faculty of Medicine, University of Jaffna, Jaffna
机构:
SRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, IndiaSRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, India
Bhat, Nowneet Kumar
Dhar, Minakshi
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SRH Univ, Himaliyan Inst Med Sci, Dept Med, Dehra Dun, Uttarakhand, IndiaSRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, India
Dhar, Minakshi
Mittal, Garima
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机构:
SRH Univ, Himaliyan Inst Med Sci, Dept Microbiol, Dehra Dun, Uttarakhand, IndiaSRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, India
Mittal, Garima
Chandra, Harish
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SRH Univ, Himaliyan Inst Med Sci, Dept Pathol, Dehra Dun, Uttarakhand, IndiaSRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, India
Chandra, Harish
Rawat, Anil
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SRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, IndiaSRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, India
Rawat, Anil
Chandar, Vipan
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SRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, IndiaSRH Univ, Himaliyan Inst Med Sci, Dept Pediat, Dehra Dun 248140, Uttarakhand, India
机构:
I Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Kaohsiung Med Univ, Coll Med, Grad Inst Med, Kaohsiung, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Lai, Chung-Hsu
Huang, Chun-Kai
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h-index: 0
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I Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Huang, Chun-Kai
Weng, Hui-Ching
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h-index: 0
机构:
I Shou Univ, Dept Hlth Management, Kaohsiung, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Weng, Hui-Ching
Chung, Hsing-Chun
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h-index: 0
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I Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Chung, Hsing-Chun
Liang, Shiou-Haur
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h-index: 0
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I Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Liang, Shiou-Haur
Lin, Jiun-Nong
论文数: 0引用数: 0
h-index: 0
机构:
I Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Kaohsiung Med Univ, Coll Med, Grad Inst Med, Kaohsiung, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Lin, Jiun-Nong
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Lin, Chih-Wen
Hsu, Chuan-Yuan
论文数: 0引用数: 0
h-index: 0
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I Shou Univ, E Da Hosp, Dept Internal Med, Gastroenterol Sect, Kaohsiung, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
Hsu, Chuan-Yuan
Lin, Hsi-Hsun
论文数: 0引用数: 0
h-index: 0
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I Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, TaiwanI Shou Univ, E Da Hosp, Dept Internal Med, Div Infect Dis, Yan Chau Shiang 824, Kaohsiung Cty, Taiwan
机构:
Mahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India
Stephen, Selvaraj
Kandhakumari, Gandhi
论文数: 0引用数: 0
h-index: 0
机构:
Mahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India
Kandhakumari, Gandhi
Pradeep, Jothimani
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机构:
Mahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India
Pradeep, Jothimani
Vinithra, Shanmugam M.
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h-index: 0
机构:
Mahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India
Vinithra, Shanmugam M.
Siva, Pakirsamy K.
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Mahatma Gandhi Med Coll & Res Inst, Dept Gen Med, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India
Siva, Pakirsamy K.
Hanifah, Mohamed
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机构:
Mahatma Gandhi Med Coll & Res Inst, Dept Gen Med, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India
Hanifah, Mohamed
Vanithadevi, Elangovan
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机构:
Mahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, IndiaMahatma Gandhi Med Coll & Res Inst, Dept Microbiol, Pondicherry 607402, India