Case Report of Scrub Typhus

Rabbani, Safia Binte; Hossain, Iqbal; Begum, Afsana

doi:10.3329/jbcps.v36i3.37037

Cited by 2 publications

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References 12 publications

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“…In spite of significant serosurveillance reports [2][3][4] and clinical recognition of cases, rickettsial fevers are only occasionally reported in literature in or from Bangladesh. 5,6 The largest series published in 2007 revealed that clinical presentation is indistinguishable from other common causes of fever like viral and enteric fevers. 5 Presence of typical eschar in scrub typhus is also an uncommon feature.…”

Section: Discussionmentioning

confidence: 99%

Scrub Typhus – An Overlooked Aetiology for Acute Febrile Illness in Bangladesh: A Case Report

Zaman¹,

Rashid²,

Rahim³

2019

Birdem Med J

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Rickettsial fevers are a heterogeneous group of illness characterized by fever, headache, myalgia and rash. Rickettsia has a wide global distribution and regional species specificity. In spite of significant serosurveillance reports, rickettsial fevers are occasionally reported in Bangladesh. Here, we report a case of scrub typhus occurring in a young girl who presented with fever and had a typical eschar. We emphasize rickettsial fever should be a differential diagnosis in acute fever without localizing symptoms and signs in Bangladesh.

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Section: Discussionmentioning

confidence: 99%

Scrub Typhus – An Overlooked Aetiology for Acute Febrile Illness in Bangladesh: A Case Report

Zaman¹,

Rashid²,

Rahim³

2019

Birdem Med J

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Acute febrile illness among outpatients seeking health care in Bangladeshi hospitals prior to the COVID-19 pandemic

Das

Rahman²,

Chisti³

et al. 2022

PLoS ONE

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Understanding the distribution of pathogens causing acute febrile illness (AFI) is important for clinical management of patients in resource-poor settings. We evaluated the proportion of AFI caused by specific pathogens among outpatients in Bangladesh. During May 2019-March 2020, physicians screened patients aged ≥2 years in outpatient departments of four tertiary level public hospitals. We randomly enrolled patients having measured fever (≥100.4°F) during assessment with onset within the past 14 days. Blood and urine samples were tested at icddr,b through rapid diagnostic tests, bacterial culture, and polymerase chain reaction (PCR). Acute and convalescent samples were sent to the Centers for Disease Control and Prevention (USA) for Rickettsia and Orientia (R/O) and Leptospira tests. Among 690 patients, 69 (10%) had enteric fever (Salmonella enterica serotype Typhi orSalmonella enterica serotype Paratyphi), 51 (7.4%) Escherichia coli, and 28 (4.1%) dengue detected. Of the 441 patients tested for R/O, 39 (8.8%) had rickettsioses. We found 7 (2%) Leptospira cases among the 403 AFI patients tested. Nine patients (1%) were hospitalized, and none died. The highest proportion of enteric fever (15%, 36/231) and rickettsioses (14%, 25/182) was in Rajshahi. Dhaka had the most dengue cases (68%, 19/28). R/O affected older children and young adults (IQR 8–23 years) and was detected more frequently in the 21–25 years age-group (17%, 12/70). R/O was more likely to be found in patients in Rajshahi region than in Sylhet (aOR 2.49, 95% CI 0.85–7.32) between July and December (aOR 2.01, 1.01–5.23), and who had a history of recent animal entry inside their house than not (aOR 2.0, 0.93–4.3). Gram-negative Enterobacteriaceae were the most common bacterial infections, and dengue was the most common viral infection among AFI patients in Bangladeshi hospitals, though there was geographic variability. These results can help guide empiric outpatient AFI management.

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Case Report of Scrub Typhus

Cited by 2 publications

References 12 publications

Scrub Typhus – An Overlooked Aetiology for Acute Febrile Illness in Bangladesh: A Case Report

Scrub Typhus – An Overlooked Aetiology for Acute Febrile Illness in Bangladesh: A Case Report

Acute febrile illness among outpatients seeking health care in Bangladeshi hospitals prior to the COVID-19 pandemic

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