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J Pediatr Infect Dis 2018; 13(04): 319-322
DOI: 10.1055/s-0037-1605363
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Scrub Typhus with Varied Clinical Presentations

Mihir Sarkar
1   Department of Pediatrics, Medical College Kolkata, 88 College Street, Kolkata 700073, West Bengal, India
,
Susrita Banerjee
1   Department of Pediatrics, Medical College Kolkata, 88 College Street, Kolkata 700073, West Bengal, India
,
Satyabrata Roychowdhuri
1   Department of Pediatrics, Medical College Kolkata, 88 College Street, Kolkata 700073, West Bengal, India
› Author Affiliations
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Publication History

09 May 2017

06 July 2017

Publication Date:
25 August 2017 (online)

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Abstract

We present four cases of pediatric scrub typhus from a tertiary care center of eastern India, emphasizing on varied unusual clinical manifestations posing diagnostic difficulties. A low index of suspicion is required to prevent under diagnosis. We report a case series of four patients with scrub typhus having uncommon clinical manifestations (two patients with hemophagocytic lymphohistiocytosis, one patient with myocarditis, and one patient presenting with shock reminiscent of dengue shock syndrome). The response to doxycycline was good, with fever subsiding within 48 to 72 hours of starting the treatment. Three out of four cases completely recovered once appropriate medication was given.

Keywords

scrub typhus - hemophagocytic lymphohistiocytosis - myocarditis
 

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