Clinical radiological manifestation in scrub typhus in tertiary care hospital of southern Rajasthan

Abstract

Introduction: Acute febrile illness (a rapid onset of fever and symptoms such as headache, chills, muscle and joint pain) is common in topics and sub – topics, caused by very diverse pathogens. Pulmonary involvement has been well reported and basic pathological process in pulmonary involvement of scrub typhus is interstitial pneumonia with or without vasculitis. Methodology: Prospective observational, analytic study performed in period of Jan-2019 to Dec-2019 to determine rates, clinic-epidemiology, pattern of respiratory system involvement, incidence, frequency and pattern of respiratory system involvement in cases of illness involvement in scrub typhus admitted in medical ward and ICU. Result: In our study of total 130 patients were included, out of which 50 were males and 80 were females. Patients above age of 16 years were included patient with Scrub typhus were admitted 46 (35.3%) in ICU and 84 (64.6%) in Ward and amongst them non smokers is more common 95 (73.07%), and Non alcoholics is common in Scrub typhus 86 (66.15%), Comorbidities In Scrub typhus DM being most common comorbidity followed by HTN (4.61%) and combination of both DM and HTN (4.61%) respectively. ABG findings In Scrub typhus 101 (77.6%) showed normal findings and 29 (22.3%) abnormal findings. In Scrub typhus most common pulmonary manifestations being productive cough 42 (32.3%) and least common being hemoptysis 1 (0.76%). Conclusion: In all the cases of scrub typhus during early stage of the disease pulmonary manifestations must be ruled out and basic radiological investigations (CXR) should be done to find out any complications of pulmonary system involvement such as ARDS, Pneumonia etc. Early detection of pulmonary manifestations can not only reduce the stay of the hospital but also improves outcome of the disease and reduces mortality and morbidity rate.