Epidemic of Scrub Typhus in Haroti Region of Rajasthan.
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Date
2014-12
Journal Title
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Abstract
Scrub typhus is a rare form of disease caused
by gram negative bacterium Orientia tsutsugamushi, of
family Rickettsiaceae, transmitted by bite of infected
trombiculid mite larva (chigger). The present prospective
study is undertaken with the aim of the clinical
manifestations, course, complications and outcome of scrub
typhus in Haroti region of Rajasthan state during the recent
epidemic. Method: This prospective study was conducted
in indoor patients of MBS hospital and various private
nursing homes in Kota city from August 2012 to November
2012. Twenty cases with positive Scrub typhus card test
in the age group of 20 years to 60 years, comprising of 14
males and 06 females were included in the study group in
clinically suspected cases with fever, rashes, cough with
or without eschar and regional lymphadenopathy. Cases
were studied in detail and followed up for improvement
and any permanent damage or death. Results: Out of 20
patients, 16 patients improved and discharged from hospital
in stable condition without any disability. 02 patients (10%)
died because of late presentation and multiorgan involvement
especially respiratory failure or meningoencephalitis.
Conclusion: Haroti witnessed recent epidemic of Scrub
typhus. Renal, respiratory and neurological complications
were main cause of mortality and morbidity.
Description
Keywords
scrub typhus, chigger, eschar, tsutsugamushi triangle
Citation
Wahid Abdul, Jain Gaurav, Meena S R, Pahadia Manish, Saluja Manoj, Puneeth U M. Epidemic of Scrub Typhus in Haroti Region of Rajasthan. Indian Medical Gazette. 2014 Dec ; 148 (12): 435-440.