A study of scrub typhus cases from a tertiary care hospital in Dehradun

Published

2015-03-31

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Short Article

Authors

  • Megha Luthra
  • Amit Varma
  • Sudhir Kumar Gupta
  • Kamal Singh Negi

Abstract

Introduction: Scrub Typhus is a trombiculid mite-borne rickettsial zoonosis caused by Orientia tsutsugamushi, which is widely endemic in the Asia–Pacific region and threatens a population of millions. Aim and Objectives: To study epidemiology and clinical profile of Scrub Typhus Cases in a clinical setting and to clarify current diagnostic issues of scrub typhus. Materials and methods: Study period was August to December 2014. 197 clinical cases confirmed by positive result in immunoglobulin (IgG, IgM or IgA) using a rapid immuno-chromatographic assay (Bioline SD Tsutsugamushi One Step Scrub typhus Antibody test) were included. Results: 27.4% cases were in the age group of 20-30 years followed by cases in the age group of 10-20 as well as 40-50 years (15.7%). More than half of all the cases were female (58.4%). 29.9% were still studying and and 17.8% were illiterate/just literate. 29.4% cases were from district Dehradun followed by cases from district Saharanpur (25.4%). Most cases were not working, i.e. were housewives (42.6%) followed by students (29.9%). Most common presenting features were fever with gastro-intestinal symptoms (51.3%). All the cases were treated with appropriate antibiotics (Doxycycline, Azithromycin and a higher generation cephalosporin for secondary complications). 38.1% cases went on to develop a complication during their hospital stay. All were discharged in satisfactory condition except for two mortalities during the study period

How to Cite

1.
Luthra M, Varma A, Gupta SK, Negi KS. A study of scrub typhus cases from a tertiary care hospital in Dehradun. Indian J Community Health [Internet]. 2015 Mar. 31 [cited 2022 Dec. 3];27(1):150-4. Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/548

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