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Introduction: Scrub typhus is a form of typhus caused by the intracellular parasite Orientia tsutsugamushi. The disease is endemic in many parts of India. Materials and Methods: This study describes the clinical profile of six scrub typhus positive cases admitted in a tertiary care hospital. Complete physical examination and all routine tests were done in all cases. In all the cases, scrub typhus was diagnosed using a rapid single step immunochromatographic assay. Results: Of the six cases three were females and three were males. Fever was the chief presenting symptom in all the cases. Other signs and symptoms were headache, myalgia, cough, hepatospleenomegaly, abdominal pain and lymphadenopathy. Only two patients had pathognomonic features of eschar and lymphadenopathy. Liver enzymes were elevated in all the patients. Hypotension, thrombocytopenia, hepatic dysfunction, hypoalbuminemia, hematuria and proteinuria were the complications observed. All the cases were successfully treated with doxycycline and there was no mortality. Conclusion: Our report emphasizes the fact that a diagnosis of scrub typhus should be suspected when a patient presents with fever and laboratory evidence of liver dysfunction, as early detection of the disease could reduce morbidity and mortality.

Case Series on Scrub Typhus from a tertiary care hospital of North East India