Scrub typhus in pregnancy: A report of two cases

被引：1

作者：

Selvan, Advika Thamarai ^{[1
]}

Agarwal, Ishita ^{[1
]}

Behera, Bijayini ^{[2
]}

Singh, Sweta ^{[1
,3
]}

机构：

[1] All India Inst Med Sci, Dept Obstet & Gynaecol, Bhubaneswar, India

[2] All India Inst Med Sci, Dept Microbiol, Bhubaneswar, India

[3] Kings Coll Hosp London, High Risk Pregnancy, London, England

来源：

OBSTETRIC MEDICINE | 2024年 / 17卷 / 01期

关键词：

scrub typhus; pregnancy complications; infectious; neonatal complications; maternal death;

D O I：

10.1177/1753495X221122593

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Scrub typhus shows a high prevalence in South-East Asia. In pregnant females, it can cause both maternal and fetal adverse outcomes. We report a case series of two women with scrub typhus and their varied outcomes. A 25-year-old primigravida treated for scrub typhus at 23 weeks' gestation presented at 34 weeks with stage three fetal growth restriction (FGR). Caesarean delivery was performed. The neonate had biliary atresia. A 24-year-old primigravida at 31 weeks' gestation was referred from a local hospital due to scrub typhus induced multi-organ dysfunction. She had FGR stage 1 with oligohydramnios. Emergency caesarean delivery was performed in view of acute fetal bradycardia. There is an emerging need for research to reassess what is already known about scrub typhus in pregnancy and to develop techniques for its treatment inorder to achieve a positive maternal and neonatal outcome in these cases.

引用

页码：58 / 60

页数：3

共 10 条

[1]

Bansod Yogendra V, 2021, J Assoc Physicians India, V69, P11

[2] The burden of scrub typhus in India: A systematic review [J].

Devasagayam, Emily ;

Dayanand, Divya ;

Kundu, Debasree ;

Kamath, Mohan S. ;

Kirubakaran, Richard ;

Varghese, George M. .

PLOS NEGLECTED TROPICAL DISEASES, 2021, 15 (07)

[3] Update on the Diagnosis and Classification of Fetal Growth Restriction and Proposal of a Stage-Based Management Protocol [J].

Figueras, Francesc ;

Gratacos, Eduard .

FETAL DIAGNOSIS AND THERAPY, 2014, 36 (02) :86-98

[4] Pregnancy Outcome in Relation to Treatment of Murine Typhus and Scrub Typhus Infection: A Fever Cohort and a Case Series Analysis [J].

McGready, Rose ;

Prakash, John Antony Jude ;

Benjamin, Santosh Joseph ;

Watthanaworawit, Wanitda ;

Anantatat, Tippawan ;

Tanganuchitcharnchai, Ampai ;

Ling, Clare L. ;

Tan, Saw Oo ;

Ashley, Elizabeth A. ;

Pimanpanarak, Mupawjay ;

Blacksell, Stuart D. ;

Day, Nicholas P. ;

Singhasivanon, Pratap ;

White, Nicholas J. ;

Nosten, Franc Ois ;

Paris, Daniel H. .

PLOS NEGLECTED TROPICAL DISEASES, 2014, 8 (11)

[5] Genome-wide association studies in biliary atresia [J].

Ningappa, Mylarappa ;

Min, Jun ;

Higgs, Brandon W. ;

Ashokkumar, Chethan ;

Ranganathan, Sarangarajan ;

Sindhi, Rakesh .

WILEY INTERDISCIPLINARY REVIEWS-SYSTEMS BIOLOGY AND MEDICINE, 2015, 7 (05) :267-273

[6] A Case Series Of Scrub Typhus In Obstetrics [J].

Poomalar, G. K. ;

Rekha, R. .

JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH, 2014, 8 (12) :CR1-CR3

[7] Scrub typhus in pregnancy: Maternal and fetal outcomes [J].

Rajan, Sudha J. ;

Sathyendra, Sowmya ;

Mathuram, Alice J. .

OBSTETRIC MEDICINE, 2016, 9 (04) :164-166

[8] Scrub typhus-related hepatotoxicity: The Indian scenario [J].

Rathi, Pravin ;

Siddiqui, Khwaja A. ;

Shah, Parth .

TROPICAL DOCTOR, 2021, 51 (02) :228-231

[9] A Systematic Review of Mortality from Untreated Scrub Typhus (Orientia tsutsugamushi) [J].

Taylor, Andrew J. ;

Paris, Daniel H. ;

Newton, Paul N. .

PLOS NEGLECTED TROPICAL DISEASES, 2015, 9 (08)

[10]

Tilak Rina, 2019, Med J Armed Forces India, V75, P8, DOI 10.1016/j.mjafi.2018.12.018

← 1 →