Scrub Typhus:Jammu Outbreak-2009.
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Date
2010-04
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Abstract
This is a first report of 20 adult cases describing clinical feature, epidemiological profile and treatment outcome
of clinically diagnosed scrub typhus confirmed by test for antibodies (IgM) to O.tsutsugamushi using ELISA
kit. Majority of the cases belonged to the district Rajouri (45%) froming hilly & rural belts.Outbreak was
Autumn Winter type as all cases reported in month of September and October. The common clinical features
were fever 100%, myalgia 50%, headache 30%, conjunctival congestion 30%, eschar 35%, rash 25%,
lymphadenopathy 45%, splenomegaly 40%, hepatomegaly 40%, edema 25%, ARDS 35%, altered sensorium
10%, hypotension 20% & metrorrhagia in 5% of patients. Use of Immunological test helped to establish
diagnosis of scrub typhus.Thus all the cases were managed successfully without any mortality with doxycycline
and or azithromycine & one with addition of rifampicin.
Description
Keywords
Rickettsial, Scrub Typhus, Orientia Tsutsugamushi
Citation
Mahajan Annil, Jasrotia D S, Chark R S, Kumar Tejinder, Bhagat P L, Sharma Neeraj, Gupta B B. Scrub Typhus:Jammu Outbreak-2009. JK Science Journal of Medical Education and Research. 2010 Apr-June; 12(2): 98-101