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VOLUME 3 , ISSUE 1 ( January-June, 2020 ) > List of Articles

Original Article

Eschar in Scrub Typhus: A Case Series

Neel K Issar, Kuldeep K Ashta, Sandeep Thareja, Nalin K Mahesh, D. Salimath, Niket Verma

Keywords : Early diagnosis, Fever, Orientia tsutsugamushi, Scrub typhus

Citation Information : Issar NK, Ashta KK, Thareja S, Mahesh NK, Salimath D, Verma N. Eschar in Scrub Typhus: A Case Series. Journal of Medical Academics 2020; 3 (1):4-6.

DOI: 10.5005/jp-journals-10070-0044

License: CC BY-NC 4.0

Published Online: 21-12-2020

Copyright Statement:  Copyright © 2020; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Scrub typhus is endemic in eastern and southern Asia, islands of western Pacific and Indian Ocean. The causative organism is a gram-negative bacterium, Orientia tsutsugamushi. Eschar in scrub typhus helps in early diagnosis and treatment, however the eschar positivity rates vary greatly. An eschar in an acute febrile patient from tsutsugamushi triangle is an important sign. The presence of eschar and IgM ELISA positivity can be used to detect majority of scrub typhus cases. Materials and methods: It is a hospital based observational study. This study state the epidemiologic and clinical profile of eight scrub typhus positive patients who were admitted in Base Hospital Delhi Cantonment (BHDC) during August–October 2018. Case series and result: Fever was the chief presenting complaint among all patients. Five patients had associated myalgia, headache and two patients had abdominal pain. One patient had cough and breathlessness which required intensive care. Eschar, the pathognomic feature of scrub typhus was present in all cases. Overall, the most common area of an eschar was groin followed by the abdomen. Conclusion: Presence of eschar is the key to clinical diagnosis of scrub.


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