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Case Reports
. 2014 Aug;5(8):1054-7.

Scrub typhus with unusual presentation

A S Praveen Kumar  1 , M P Anupama  2
Affiliations
Case Reports

Scrub typhus with unusual presentation

A S Praveen Kumar et al. Int J Prev Med. 2014 Aug.

Abstract

Scrub typhus is an acute, febrile zoonosis caused by an obligate intracellular bacterium Orientia tsutsugamushi. The clinical manifestations of the disease range from subclinical to fatal organ failure. The common symptoms are fever, chills, headache, myalgia, dry cough, lymphadenopathy, and gastrointestinal disturbances. The presentation with complications is usually due to delay in diagnosis and treatment. We report three cases of scrub typhus that presented with features of meningo-encephalitis, which is very unusual, and all patients recovered with empirical doxycycline treatment.

Keywords: Chigger; Orientia tsutsugamushi; Weil-Felix test; eschar; meningo-encephalitis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Photograph showing eschar in the neck region (case 1)
Figure 2
Figure 2
Photograph showing eschar in the axillary region (case 2)
See this image and copyright information in PMC

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