First case of scrub typhus with meningoencephalitis from Kerala: An emerging infectious threat.

Annals of Indian Academy of Neurology
K SaifudheenV Abdul Gafoor

Abstract

Scrub typhus is a rickettsial disease caused by Orientia tsutsugamushi, one of the most common infectious diseases in the Asia-Pacific region. It has been reported from northern, eastern, and southern India, and its presence has been documented in at least 11 Indian states. However, scrub typhus meningoencephalitis has not been well documented in Kerala. We report two cases of scrub typhus meningoencephalitis from northern Kerala. The diagnosis was made based on the clinical pictures, presence of eschar, and a positive Weil-Felix test with a titer of > 1:320. The first patient succumbed to illness due to respiratory failure and the second patient improved well.

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Citations

May 11, 2013·Annals of Indian Academy of Neurology·Sameer Gulati, Anu Maheshwari
Jul 5, 2013·Indian Journal of Anaesthesia·S Bala Bhaskar
Aug 7, 2014·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Ayan KarK Harikrishna
Nov 27, 2014·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Sujeet Raina
Jan 29, 2016·Indian Journal of Pediatrics·Ashwani Kumar SoodHemant Gupta
Sep 12, 2014·Journal of Neurology, Neurosurgery, and Psychiatry·U K MisraV E Mani
Jun 27, 2013·PloS One·Stalin ViswanathanTarun George
May 22, 2016·QJM : Monthly Journal of the Association of Physicians·J James, N K Thulaseedharan
Aug 19, 2016·Vector Borne and Zoonotic Diseases·Aniruddha JakhariaJagadish Mahanta
Nov 15, 2019·BMC Infectious Diseases·Divyalakshmi BhaskaranSabine Dittrich
Apr 28, 2017·Transactions of the Royal Society of Tropical Medicine and Hygiene·Senaka RajapakseSumadhya Deepika Fernando

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Methods Mentioned

BETA
ESR
X-ray

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