Open AccessScrub typhus infection in pregnancy: the dilemma of diagnosis and treatment in a resource‐limited setting
Author(s) -
Watthanaworawit Wanitda,
Kolakowska Edyta,
Hanboonkunupakarn Borimas,
Ling Clare,
McGready Rose
Publication year - 2016
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.572
Subject(s) - medicine , intensive care medicine , pregnancy , scrub typhus , antibiotics , dilemma , fetus , typhus , limited resources , pediatrics , pathology , virology , risk analysis (engineering) , philosophy , genetics , epistemology , biology , microbiology and biotechnology
Key Clinical Message To save the life of both mother and fetus, the risks and benefits of the few antibiotics considered effective in the treatment of severe scrub typhus require consideration. In this case, chloramphenicol treatment averted maternal but not fetal mortality. Evidence‐based guidelines appropriate for resource‐limited endemic areas are required.