Scrub typhus masquerading as puerperal sepsis

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dc.contributor.authorSingh, Anjuen_US
dc.contributor.authorKhastgir, Gauraven_US
dc.contributor.authorSaha, Pradip Kumaren_US
dc.contributor.authorBagga, Rashmien_US
dc.contributor.authorSuri, Vikasen_US
dc.date.accessioned2024-09-24T09:07:03Z
dc.date.available2024-09-24T09:07:03Z
dc.date.issued2024-03
dc.description.abstractScrub typhus is a zoonotically transmitted febrile illness caused by Orientia tsutsugamushi and transmitted by the larval stage of the leptotrombiculid mite. It is the most common rickettsial illness worldwide and has re-emerged as a major cause of Acute Undiffrentiated Febrile Illness (AUFI). It has a varied presentation ranging from a mild self-limiting illness to a life threatening condition with multi organ failure in 35 to 50% cases. Acute onset fever with pain abdomen, rashes, lymphadenopathy and eschars are the usual manifestations. The presentation, however, may be varied in pregnancy and the postpartum period due to altered immunological response of the body. A 33 year old lady presented on day 13 post-partum with high grade fever and hypotensive shock. An initial diagnosis of puerperal sepsis was made and empirical antibiotics started. Due to persistent high grade fever, with fluid refractory hypotension, a complete septic work up including Scrub typhus serology was sent which was found to be positive. Injection doxycycline was added to the treatment regimen following which the fever and rashes subsided and general condition improved.en_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, Indiaen_US
dc.identifier.affiliationsDepartment of Obstetrics and Gynecology, Post Graduate Institute of Medical Education and Research, Chandigarh, Indiaen_US
dc.identifier.affiliationsDepartment of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, Indiaen_US
dc.identifier.citationSingh Anju, Khastgir Gaurav, Saha Pradip Kumar, Bagga Rashmi, Suri Vikas . Scrub typhus masquerading as puerperal sepsis . International Journal of Reproduction, Contraception, Obstetrics and Gynecology . 2024 Mar; 13(3): 756-758en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/232474
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber3en_US
dc.relation.volume13en_US
dc.source.urihttps://doi.org/10.18203/2320-1770.ijrcog20240494en_US
dc.subjectScrub typhusen_US
dc.subjectPuerperal feveren_US
dc.subjectPuerperal sepsisen_US
dc.subjectAcute undifferentiated febrile illnessen_US
dc.titleScrub typhus masquerading as puerperal sepsisen_US
dc.typeJournal Articleen_US
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