Scrub typhus in false-positive dengue patients

Venkategowda, Pradeep M; Prakash, Yarramalle S; Harde, Yogesh R; Rao, S Manimala

doi:10.4103/1755-6783.157279

Cited by 3 publications

(3 citation statements)

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“…Iqbal et al reported a case of pancreatitis with multi-organ dysfunction syndrome (MODS) in dengue-scrub typhus coinfection and noted that coinfection should always be investigated in doubtful cases of infective pancreatitis [17]. All patients in the case series published by Venkategowda et al had required mechanical ventilation and renal replacement therapy; as such, they concluded that any febrile patient with thrombocytopenia and MODS should be investigated for more than one tropical infection [2].…”

Section: Discussionmentioning

confidence: 99%

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Scrub Typhus and Dengue Coinfection in a 17-Month-Old Child

Roy¹,

Chakrabartty²

2017

IJCR

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Scrub typhus is reemerging as a worldwide threat. In the tropical countries, where other diseases with overlapping clinical features are abundant, the occurrence of scrub typhus poses to be a significant problem to the clinician. We describe the case of a 17-monthold child who was diagnosed to be having a coinfection of scrub typhus and dengue. Various similar complications such as capillary leakage, thrombocytopenia, and possibility of seizure found in both the diseases, make such a coinfection very risky. The child was managed with oral azithromycin and fluid support. He became afebrile after 60 h and was discharged after 8 days. This case report will alert the pediatricians to anticipate the rare possibility of coinfection with scrub typhus and dengue fever.

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Section: Discussionmentioning

confidence: 99%

“…Coinfection of scrub typhus and dengue in the Indian subcontinent, though rare, has been previously reported. In 2015, Venkategowda et al had published a case series of five such patients, while in 2016 Saleem et al reported 15 similar coinfections [2,3]. Recently, Sapkota et al published similar case in 2017 [4].…”

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confidence: 98%

Scrub Typhus and Dengue Coinfection in a 17-Month-Old Child

Roy¹,

Chakrabartty²

2017

IJCR

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“…[2] that delay in treatment with doxycycline can lead to high incidence of acute respiratory distress syndrome. The card/kit test which is used for diagnosing dengue may have false positive result[3] for dengue in patients who actually had scrub typhus. In patients having fever with thrombocytopenia with multiple organ dysfunction syndrome should be evaluated for more than one tropical infection to avoid unnecessary false positive result.…”

mentioning

confidence: 99%