Scrub septicemia progressing to polyneuropathy: a case report

Dr Pradeep Kumar Jena,Dr Mangal Charan Murmu,Dr Sarthak Naiik,Dr Swasthi Kabi Satapathy,Dr Alok Satya Prakash Nayak

doi:10.17511/ijpr.2021.i01.09

Dr Pradeep Kumar Jena, Dr Mangal Charan Murmu + Show 3 more

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https://doi.org/10.17511/ijpr.2021.i01.09

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Abstract

Scrub typhus is a major public health problem in India with a wide spectrum of clinicalmanifestations and a low index of suspicion is low endemic areas which in turn can increasemorbidity and mortality. The clinical manifestations of scrub typhus can range from mild non-specificfebrile illness or constitutional symptoms such as fever, rash, myalgia, headache to various organdysfunction such as AKI, myocarditis, pneumonia, meningitis, encephalitis, GI bleed, hepatitis. Herewe report a case of a 9-year-old girl who presented with scrub septicemia and progressed to developcritical illness myopathy, which is very unusual.

Highlights

Scrub typhus is an acute febrile illness that is caused by mite borne Orientia Tsutsugamushi
The clinical manifestations of scrub typhus can range from mild non-specific febrile illness or constitutional symptoms such as fever, rash, myalgia, headache to various organ dysfunction such as AKI, myocarditis, pneumonia, meningitis, encephalitis, GI bleed, hepatitis
The clinical manifestations of scrub typhus can range from mild non-specific febrile illness or constitutional symptoms such as fever, rash, myalgia, headache to various organ dysfunction such as AKI, myocarditis, pneumonia, meningitis, encephalitis, GI bleed, hepatitis [1,2,3,4]

Summary

Case Report

Kumar Jena P.1, Kabi Satapathy S.2, Satya Prakash Nayak A.3, NaIik S.4, Charan Murmu M.5*. Scrub typhus is a major public health problem in India with a wide spectrum of clinical manifestations and a low index of suspicion is low endemic areas which in turn can increase morbidity and mortality. The clinical manifestations of scrub typhus can range from mild non-specific febrile illness or constitutional symptoms such as fever, rash, myalgia, headache to various organ dysfunction such as AKI, myocarditis, pneumonia, meningitis, encephalitis, GI bleed, hepatitis. We report a case of a 9-year-old girl who presented with scrub septicemia and progressed to develop critical illness myopathy, which is very unusual

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