International Journal of Health and Clinical Research

Yazarlar: Somnath Maitra, Koushik Ray, Ujjal Kumar Chakravarty

Konular:-

Anahtar Kelimeler:Scrub typhus ,Eschar ,Meningitis.

Özet: Scrub typhus presents with fever and multisystem involvement .We present here a case series of 3 different case reports with various manifestations .Patient 1 presented with eschar without neurological manifestations while case 2 presented with meningitis and papilledema without eschar .Case 3 also presented with meningo encephalitis without eschar.All patients responded to intravenous doxycycline and supportive therapy .Transaminitis, renal dysfunction, thrombocytopenia and pneumonia were present in the patients with CNS involvement .The importance lies in the fact that further studies are required to assess that whether absence of eschar leads to complications and neurological manifestations or not .Also differentiation must be made with tubercular meningitis to avoid unnecessary prolonged treatment and avoiding complications.

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