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Surgical manifestations of scrub typhus: A diagnostic dilemma.
Natl Med J India. 2015 Jan-Feb; 28(1):12-3.NM

Abstract

BACKGROUND

Scrub typhus, a zoonosis caused by Orientia tsutsugamushi, is a systemic febrile illness. The disease presents with diverse clinical manifestations, ranging from subclinical disease to multiorgan failure and fatal disease. It may rarely present as an acute abdomen which may lead to a diagnostic dilemma. We describe two serologically confirmed cases of scrub typhus presenting as acute abdomen-one mimicking acute appendicitis and the other acute cholecystitis, both managed non-operatively. A high index of suspicion, along with subtle indicators in the history and clinical examination help avoid unnecessary surgery in such cases.

Authors+Show Affiliations

Department of General Surgery, Christian Medical College, Vellore 632004, Tamil Nadu, gayatrisabne@rediffmail.com.Department of General Surgery, Christian Medical College, Vellore 632004, Tamil Nadu.Department of General Surgery, Christian Medical College, Vellore 632004, Tamil Nadu.Department of General Surgery, Christian Medical College, Vellore 632004, Tamil Nadu.

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

26219315

Citation

Deshpande, Gayatri Amit, et al. "Surgical Manifestations of Scrub Typhus: a Diagnostic Dilemma." The National Medical Journal of India, vol. 28, no. 1, 2015, pp. 12-3.
Deshpande GA, Mittal R, Jesudasan MR, et al. Surgical manifestations of scrub typhus: A diagnostic dilemma. Natl Med J India. 2015;28(1):12-3.
Deshpande, G. A., Mittal, R., Jesudasan, M. R., & Perakath, B. (2015). Surgical manifestations of scrub typhus: A diagnostic dilemma. The National Medical Journal of India, 28(1), 12-3.
Deshpande GA, et al. Surgical Manifestations of Scrub Typhus: a Diagnostic Dilemma. Natl Med J India. 2015 Jan-Feb;28(1):12-3. PubMed PMID: 26219315.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Surgical manifestations of scrub typhus: A diagnostic dilemma. AU - Deshpande,Gayatri Amit, AU - Mittal,Rohin, AU - Jesudasan,Mark Rajan, AU - Perakath,Benjamin, PY - 2015/7/30/entrez PY - 2015/7/30/pubmed PY - 2015/9/16/medline SP - 12 EP - 3 JF - The National medical journal of India JO - Natl Med J India VL - 28 IS - 1 N2 - BACKGROUND: Scrub typhus, a zoonosis caused by Orientia tsutsugamushi, is a systemic febrile illness. The disease presents with diverse clinical manifestations, ranging from subclinical disease to multiorgan failure and fatal disease. It may rarely present as an acute abdomen which may lead to a diagnostic dilemma. We describe two serologically confirmed cases of scrub typhus presenting as acute abdomen-one mimicking acute appendicitis and the other acute cholecystitis, both managed non-operatively. A high index of suspicion, along with subtle indicators in the history and clinical examination help avoid unnecessary surgery in such cases. SN - 0970-258X UR - https://www.unboundmedicine.com/medline/citation/26219315/Surgical_manifestations_of_scrub_typhus:_A_diagnostic_dilemma_ L2 - http://www.diseaseinfosearch.org/result/7277 DB - PRIME DP - Unbound Medicine ER -