Scrub typhus presenting without fever
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Date
2018-09
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Scrub typhus may be a very a familiar reason for an acute undifferentiated fever. Although there has been an improvement in the diagnostics as well as an increased awareness regarding this disease, it still remains belatedly diagnosed and eventually turns fatal. We present a male patient who was brought to us with jaundice, tender hepatomegaly and distinctly no history fever who turned out to have a Scrub typhus infection and was salvaged owing to a diverse empirical antibiotic coverage. This represents an atypical clinical presentation of a very familiar infection: Tropical rickettsioses infection presenting with afebrile jaundice in an immunocompetent patient. It also brings into perspective the wavered nature of its disease presentation, the significant merit of procuring a good patient history and a change in empirical antibiotic policies especially in areas endemic for scrub typhus
Description
Keywords
Afebrile jaundice, Fever, Scrub typhus
Citation
Kodiatte Abraham A., Kaur Sukhdeep, Loomba Vikas. Scrub typhus presenting without fever. International Journal of Advances in Medicine. 2018 Sep; 5(5): 1308-1310