Volume : 6, Issue : 9, September - 2017

ATYPICAL PRESENTATION OF SCRUB TYPHUS

Dr. Sashidhar Reddy B, Dr Sudha Vidyasagar

Abstract :

<p>&nbsp;<span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">Scrub typhus is a mite borne infectious disease caused by gram negative coccobacillus</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">Orientia tsutsugamushi. </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">It is antigenically distinct from the typhus group rickettsiae.</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">&nbsp; </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">We present here </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">2 cases of scrub typhus with unusual</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">&nbsp; </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">presentations. The first patient was a 38 year old male patient</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">&nbsp; </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">presenting to us with history of fever since 7 days and diffuse blanching rash</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">&nbsp;&nbsp; </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">associated with</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">&nbsp; </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">enlargement of both parotids. The second patient was a 50 year old woman complaining of prolonged fever associated with</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">&nbsp;&nbsp; </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">acute abdominal pain in epigastric region with vomiting </span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">&nbsp;</span><span style="font-family: &quot;Times New Roman&quot;, serif; font-size: 12pt;">diagnosed to have acute pancreatitis .&nbsp;</span></p> <p class="MsoNormal"><span style="font-size:12.0pt;line-height:107%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></p>