Scrub typhus in Punjab: an acute febrile illness with multisystem involvement

被引：7

作者：

Loomba, Vikas ^{[1
]}

Mani, Anna ^{[1
]}

John, Mary ^{[1
]}

Oberoi, Aroma ^{[2
]}

机构：

[1] Christian Med Coll & Hosp, Dept Med, Ludhiana 141012, Punjab, India

[2] Christian Med Coll & Hosp, Dept Microbiol, Ludhiana 141012, Punjab, India

来源：

TROPICAL DOCTOR | 2014年 / 44卷 / 03期

关键词：

Acute febrile illness; ARDS; MODS; Rickettsial infection; SOUTH-INDIA; PREDICTORS; FAILURE;

D O I：

10.1177/0049475514522226

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Scrub typhus is an important cause of acute febrile illness. This observational study describes the clinical features and complications of the patients diagnosed to have scrub typhus in Christian Medical College & Hospital, Ludhiana, Punjab, India. The diagnosis of scrub typhus was made by using Bioline SD Tsutsugamushi test kit which detects IgM, IgG or IgA antibodies to Orientia tsutsugamushi. Sixty-two patients of scrub typhus were seen during the study period of 1 year. The mean age of the study group was 39.9 years. All the patients presented with fever, and of these 31 (50%) had non-specific symptoms. All others had some complication, namely ARDS/ALI in 18 (29%), neurological involvement in 12 (19.4%), acute kidney injury (AKI) in 16 (25.8%), hypotension in eight (12.9%), thrombocytopenia in 23 (37.1%), hepatitis in 34 (54.8%) and MODS in 19 (30.7%). Eschar was present only in nine patients. Three patients expired due to multi-organ failure, hypotension and metabolic acidosis.

引用

页码：152 / 155

页数：4

共 50 条

[21] A rare case of scrub typhus vasculitis presenting as acute coronary syndrome diagnosed by skin manifestations [J].

Pradeesh, Arumugam ;

Vasudevan, Biju ;

Sharma, Nitu ;

Verma, Rajesh .

INDIAN JOURNAL OF DERMATOLOGY VENEREOLOGY & LEPROLOGY, 2022, 88 (02) :184-187

[22] Application of Extracorporeal Membrane Oxygenation in Patients with Scrub Typhus Complicated with Acute Respiratory Distress Syndrome [J].

Liao, Xiaozu ;

Cheng, Zhou ;

Wang, Liqiang ;

Xu, Ziqiang ;

Zheng, Qiuyue ;

Chen, Rui ;

Wu, Guisen ;

Li, Binfei .

HEART SURGERY FORUM, 2020, 23 (02) :E183-E186

[23] Dengue fever in patients presenting with acute febrile illness and thrombocytopenia [J].

Rauf, Abdul ;

Zaman, Haidar ;

Zeb, Junaid ;

Shoaib, Muhammad ;

Ali, Irfan ;

Asim, Muhammad .

RAWAL MEDICAL JOURNAL, 2019, 44 (04) :662-665

[24] Clinical Characteristics of Acute Kidney Injury Associated with Tropical Acute Febrile Illness [J].

Omar, Fardosa Dahir ;

Phumratanaprapin, Weerapong ;

Silachamroon, Udomsak ;

Hanboonkunupakarn, Borimas ;

Sriboonvorakul, Natthida ;

Thaipadungpanit, Janjira ;

Pan-ngum, Wirichada .

TROPICAL MEDICINE AND INFECTIOUS DISEASE, 2023, 8 (03)

[25] Acute febrile respiratory illness in the ICU - Reducing disease transmission [J].

Sandrock, Christian ;

Stollenwerk, Nicholas .

CHEST, 2008, 133 (05) :1221-1231

[26] Bacteremia and Malaria in Tanzanian Children Hospitalized for Acute Febrile Illness [J].

Lundgren, Ingrid S. ;

Heltshe, Sonya L. ;

Smith, Arnold L. ;

Chibwana, Jerome ;

Fried, Michal W. ;

Duffy, Patrick E. .

JOURNAL OF TROPICAL PEDIATRICS, 2015, 61 (02) :81-85

[27] Rickettsial Diseases: Not Uncommon Causes of Acute Febrile Illness in India [J].

Biswal, Manisha ;

Krishnamoorthi, Sivanantham ;

Bisht, Kamlesh ;

Sehgal, Amit ;

Kaur, Jasleen ;

Sharma, Navneet ;

Suri, Vikas ;

Sethi, Sunil .

TROPICAL MEDICINE AND INFECTIOUS DISEASE, 2020, 5 (02)

[28] Oropouche virus as an emerging cause of acute febrile illness in Colombia [J].

Ciuoderis, Karl A. ;

Berg, Michael G. ;

Perez, Lester J. ;

Hadji, Abbas ;

Perez-Restrepo, Laura S. ;

Carvajal Aristizabal, Leidi ;

Forberg, Kenn ;

Yamaguchi, Julie ;

Cardona, Andres ;

Weiss, Sonja ;

Qiu, Xiaoxing ;

Pablo Hernandez-Ortiz, Juan ;

Averhoff, Francisco ;

Cloherty, Gavin A. ;

Osorio, Jorge E. .

EMERGING MICROBES & INFECTIONS, 2022, 11 (01) :2645-2657

[29] Rare and Unusual Presentation as Immune Thrombocytopenic Purpura in Scrub Typhus Complicated by Meningitis and Acute Kidney Injury [J].

Chowdhary, Prawash Kumar ;

Agrawal, Rakesh Kumar ;

Kumar, Sanjeev ;

Kale, Sanjeev Anant ;

Kumar, Vishal .

INDIAN JOURNAL OF CRITICAL CARE MEDICINE, 2022, 26 (06) :748-751

[30] Evaluation of Acute Febrile Illness in Patients Presenting to a Tertiary Care Hospital [J].

Patil, Rajsekhar ;

Kulkarni, Sudheendra .

JOURNAL OF EVOLUTION OF MEDICAL AND DENTAL SCIENCES-JEMDS, 2019, 8 (50) :3801-3804

← 1 2 3 4 5 →