Dengue with Scrub Typhus Coinfection in Northern India

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dc.contributor.authorSingh, Vishalen_US
dc.contributor.authorMishra, Satish Chandraen_US
dc.contributor.authorAgarwal, Nikesh A.en_US
dc.contributor.authorRaut, Binod B.en_US
dc.contributor.authorSingh, Pulkiten_US
dc.date.accessioned2020-10-16T08:45:03Z
dc.date.available2020-10-16T08:45:03Z
dc.date.issued2020-04
dc.description.abstractBackground:Amongst the many vector and water-borne diseases prevalent in tropics, dengue occupies a prominent place. Dengue epidemics are frequent and at times, during such epidemic, coinfections may occur causing diagnostic dilemmas.Case Report: A 36 years old lady, from a rural background, presented during the 2019 dengue epidemic with fever, vomiting, and non-colicky abdominal pain. The evaluation showed hepatosplenomegaly, leukocytosis, and thrombocytopenia. The investigations confirmed the diagnosis and she was treated conservatively as a case of dengue with warning signs. A longer than anticipated duration of fever and clinical deterioration prompted reassessment, which revealed the presence of an eschar over the right upper thigh. The Weil-Felix test using Proteus OX-K stain was positive at a titer of 1:320. Following treatment with oral doxycycline, she showed rapid defervescence and clinical improvement Conclusions:Coinfection with scrub typhus is rare with dengue. If left untreated, it adversely affects the outcome. The key to diagnosing such coinfections includes a high index of suspicion, repeated clinical examination, and the knowledge of local endemicityen_US
dc.identifier.affiliationsDepartment of Nephrology, 7 Air Force Hospital, KanpurCantonment, UP, 208004, Indiaen_US
dc.identifier.affiliationsDepartment of Cardiology, Military Hospital-CTC, Pune, Maharashtra, 411037, Indiaen_US
dc.identifier.affiliationsDepartment of Medicine, 7 Air Force Hospital, Kanpur Cantonment, UP, 208004, Indiaen_US
dc.identifier.affiliationsDepartment of Medicine, 7 Air Force Hospital, Kanpur Cantonment, UP, 208004, Indiaen_US
dc.identifier.affiliationsMS Ramaiah Medical College, Bangalore, Karnataka, 560054, Indiaen_US
dc.identifier.citationSingh Vishal, Mishra Satish Chandra, Agarwal Nikesh A., Raut Binod B., Singh Pulkit. Dengue with Scrub Typhus Coinfection in Northern India. International Journal of TROPICAL DISEASE & Health. 2020 Apr; 41(2): 58-62en_US
dc.identifier.issn2278–1005
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/209714
dc.languageenen_US
dc.publisherSCIENCEDOMAIN internationalen_US
dc.relation.issuenumber2en_US
dc.relation.volume41en_US
dc.source.urihttps://dx.doi.org//10.9734/IJTDH/2020/v41i230256en_US
dc.subjectDengue feveren_US
dc.subjectscrub typhusen_US
dc.subjectcoinfectionen_US
dc.titleDengue with Scrub Typhus Coinfection in Northern Indiaen_US
dc.typeJournal Articleen_US
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