Small joint polyarthritis - An unusual presentation of scrub typhus in a child

被引：2

作者：

Mohandoss, Vichithra ^{[1
]}

Srinath, M., V ^{[1
]}

Kumar, Radha ^{[1
]}

Dev Kumar, V ^{[1
]}

Chaudary, Devanand Gulab ^{[1
]}

机构：

[1] Saveetha Med Coll & Hosp, Dept Pediat, Chennai 602105, Tamil Nadu, India

来源：

TROPICAL DOCTOR | 2021年 / 51卷 / 04期

关键词：

Scrub typhus; arthritis; Orientia tsutsugamushi; polyarthritis; child;

D O I：

10.1177/00494755211019326

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 a common Rickettsial infection which is endemic in tropical regions. It is characterised by fever, eschar, thrombocytopenia, lymphadenopathy and organomegaly. Scrub typhus has significant morbidity and mortality owing to its multisystemic involvement. Non-inflammatory polyarthritis of small joints is an uncommon presentation in paediatric scrub typhus. We discuss a five-year-old boy who presented with fever, small joint polyarthritis, hepatosplenomegaly and pathognomonic eschar with positive scrub IgM ELISA. Arthritis resolved completely with doxycycline therapy without any deformity.

引用

页码：631 / 633

页数：3

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