Open AccessOrientia beyond fever and rash (Unusual presentations of scrub typhus)
Author(s) -
Avinash Hanbe Rajanna,
Swetha Rajoli
Publication year - 2021
Publication title -
asian journal of medical sciences
Language(s) - English
Resource type - Journals
ISSN - 2091-0576
DOI - 10.3126/ajms.v12i5.34010
Subject(s) - scrub typhus , medicine , maculopapular rash , rash , orientia tsutsugamushi , dermatology , gangrene , rickettsiosis , surgery , pathology , virology , rickettsia , virus
Scrub typhus is a zoonotic disease caused by an obligate intracellular gram-negative bacterium of the family Rickettsiaceae called Orientia tsutsugamushi. We are reporting three cases: Case 1:- A 42 year old male, farmer who presented with fever, rash and pandigital gangrene. Case 2:- A 52 year old female positive for scrub typhus treated came with c/o bilateral lower limb weakness which gradually progressed to upper limb, diagnosed to be AIDP, Case 3:- A 32 year old male presented with fever, maculopapular rash and leukocytoclastic vasculitis in first week of illness proved by biopsy. All three cases were positive for OXK (Weil Felix). Scrub typhus can present with unusual clinical features and complication during the course of illness and cases are reported for its varied presentations.