Scrub Typhus: An Uncommon Cause of Pyrexia without Focus

Authors

  • Dinesh Yadav Paediatric Intensive Care Unit, Department of Paediatrics, Lady Hardinge Medical College and associated Kalawati Sharan Children’s Hospital, New Delhi
  • Abhishek Chopra Paediatric Intensive Care Unit, Department of Paediatrics, Lady Hardinge Medical College and associated Kalawati Sharan Children’s Hospital, New Delhi
  • Ashok Kumar Dutta Paediatric Intensive Care Unit, Department of Paediatrics, Lady Hardinge Medical College and associated Kalawati Sharan Children’s Hospital, New Delhi
  • Sandeep Kumar Paediatric Intensive Care Unit, Department of Paediatrics, Lady Hardinge Medical College and associated Kalawati Sharan Children’s Hospital, New Delhi
  • Virendra Kumar Paediatric Intensive Care Unit, Department of Paediatrics, Lady Hardinge Medical College and associated Kalawati Sharan Children’s Hospital, New Delhi

DOI:

https://doi.org/10.3126/jnps.v33i3.8172

Keywords:

Scrub typhus, Orientia tsutsugamushi

Abstract

Scrub typhus is a rickettsial disease caused by Orientia tsutsugamushi. Commonly reported from hilly and forest areas, it usually presents with fever, eschar, maculopapular rash, headache, gastrointestinal symptoms and lymphadenopathy. We report a seven year old male resident of Delhi, a non-endemic region, presenting with pyrexia without focus and fluid refractory hypotension, subsequently diagnosed as scrub typhus. Fever responded to doxycycline and child was discharged on day 5. To conclude, rickettsial infections can be seen in non-endemic, urban areas as well and should be suspected and investigated in children presenting with pyrexia without focus, not responding to usual antibiotics.

DOI: http://dx.doi.org/10.3126/jnps.v33i3.8172  

J. Nepal Paediatr. Soc. 2013;33(3):234-235

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Published

2013-12-16

How to Cite

Yadav, D., Chopra, A., Dutta, A. K., Kumar, S., & Kumar, V. (2013). Scrub Typhus: An Uncommon Cause of Pyrexia without Focus. Journal of Nepal Paediatric Society, 33(3), 234–235. https://doi.org/10.3126/jnps.v33i3.8172

Issue

Vol. 33 No. 3 (2013)

Section

Brief Reports/Case Reports/Case Series

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