A STUDY ON SOCIO-DEMOGRAPHIC, CLINICAL AND LABORATORY PROFILE OF SCRUB TYPHUS IN HADOTI REGION KOTA, RAJASTHAN, AUGUST 2018-AUGUST 2019

Dr. Shyam Bihari, Dr. vijay kumar meena, Dr. S. R meena

Abstract


Background: scrub typhus is one of the commonest Rickettsial disease in India and untreated cases have high fatality rate. We described the demographic, clinical and laboratory profile of scrub typhus patients in tertiary care hospital in Hadoti region Kota, Rajasthan from August 2018 to August 2019.

Methods: this is observational study was carried out in medicine department, MBS hospital Kota in which scrub typhus patients diagnosed clinically and confirmed by serum IgM antibody for scrub typhus positive by ELISA test in central laboratory.

Result: out of total 96 positive cases of scrub typhus, 26 cases (27%) were male and 70 cases (73%) were female. Majority of 34% cases were between 20-29 years of age group and majority 87.5% cases from rural area. All 96 cases (100%) presented with fever, followed by 87 cases (90%) with gastrointestinal symptoms, 78 cases (81.25%) with headach,62 cases (64.58%) with shortness of breath, 45 cases (46.87%) with generalised weakness and 28 cases (29.16%) with pain abdomen. 41 cases (42%) with hypotension, 36 cases (37.5%) with tachypnoea, 30 cases (31.25%) with rashes on body, 10 cases (10.41%) with eschar formation,26 cases (27%) with hepatomegaly, 20 cases (20.83%) and 9 cases with altered sensorium. Impaired liver function test, increased AST and ALT found in 92% cases, thrombocytopenia in 61.75% cases. In this study 90 cases (93.75%) were discharged and 6 cases (6.25%) were died . ARDS was most common complication, out of 12 cases of ARDS 9 cases (75%) were discharged and 3 cases (25%) were died then MODS 2 cases were died. In month of September and October highest 72 cases (75%) of scrub typhus diagnosed. most of 37 cases (38.54%) belonged to Bundi district of hadoti region in Rajasthan.

Conclusion: scrub typhus should be a differential diagnosis in acute febrile illness cases in hadoti region Rajasthan. variety of clinical manifestation and complications of scrub typhus and majority of cases in September and October month.


Keywords


eschar, scrub typhus, MODS, ARDS.

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