Volume 10

Number 02 July 2020
Scrub Typhus: An Alert for Physicians: 2 Case Reports

DOI: NO DOI Assigned

Mashuq Ahmad Jumma1 , Mahjuba Umme Salam2 , Md. Rashedul Haque3 , Imran Hussain4 , Abu Saleh Shimon5 , Tamanna Begum Tuli6 , Sharmin Ahmed7

Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi. This is a vector borne zoonotic disease that spreads through blood and lymphatics in humans. All patients present with fever. Some of them show poor localizing features while some develop features of multi-organ involvement. Fatal outcomes can occur if not treated. However, many cases remain undiagnosed due to not only lack of diagnostic aids but also not considering it as a diagnosis. We report here a series of two scrub typhus cases admitted in the medicine inpatient of a tertiary care teaching hospital in Sylhet, Bangladesh. Of them, one is a 44 year old poultry farmer presenting with features of meningo-encephalitis and the other is a 45 year old housewife having a 14 day high fever not responding to multiple antibiotics. Diagnosis of both the cases are based on the presence of acute fever, black eschars, raised Weil-Felix test titers and prompt clinical response to doxycycline