No abstract

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Case Report: A 62-year-old female, farmer by occupation who presented to us with features of acute respiratory distress syndrome (ARDS) and meningitis, subsequently developed gangrene of digits of all four limbs. We investigated the patient for infectious and non-infectious causes of vasculitis leading onto gangrene. We attributed the cause for pan-digital gangrene as scrub typhus as evidenced by the presence of eschar and positive serology. Patient recovered with ventilatory support and antibiotics though her digits could not be salvaged which was managed conservatively. IJCRI publishes Conclusion:While going through literature we observed that there were no case reports of gangrene caused by scrub typhus. Pan-digital gangrene is an unusual complication of scrub typhus. Hence scrub typhus has to be ruled out in patients presenting with this complication.