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Distribution of Eschar in Pediatric Scrub Typhus.
J Trop Pediatr. 2016 10; 62(5):415-20.JT

Abstract

BACKGROUND

Identifying an eschar in scrub typhus is useful for initiation of prompt and appropriate antibiotic therapy.

METHODS

The distribution of eschars in all children <15 years of age admitted with confirmed scrub typhus over a 5 year period is described.

RESULTS

Of 431 children admitted with scrub typhus, eschars were present in 176 (40.8%) children with the following distribution: head, face and neck, 33 (19.1%); axillae, 37 (21%); chest and abdomen, 21 (11.9%); genitalia, inguinal region and buttocks, 58 (33%); back, 8 (4.5%); upper extremities, 13 (7.4%); and lower extremities, 5 (2.8%). The commonest sites of eschars were scrotum (27 of 106; 25.5%) and axillae (15 of 106; 14.2%) in males and axillae (22 of 70; 31.4%) and groin (16 of 70; 22.9%) in females. Eschars were seen within skin folds in 100 of 176 (56.8%) children.

CONCLUSION

Children should be carefully examined for the presence of eschar especially in the skin folds of the genitalia, axillae and groin to make an early diagnosis of scrub typhus.

Authors+Show Affiliations

Department of Pediatrics, Christian Medical College, Vellore 632004, India winsleyrose@cmcvellore.ac.in.Department of Pediatrics, Christian Medical College, Vellore 632004, India.Department of Pediatrics, Christian Medical College, Vellore 632004, India.Department of Pediatrics, Christian Medical College, Vellore 632004, India.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

27122479

Citation

Rose, Winsley, et al. "Distribution of Eschar in Pediatric Scrub Typhus." Journal of Tropical Pediatrics, vol. 62, no. 5, 2016, pp. 415-20.
Rose W, Rajan RJ, Punnen A, et al. Distribution of Eschar in Pediatric Scrub Typhus. J Trop Pediatr. 2016;62(5):415-20.
Rose, W., Rajan, R. J., Punnen, A., & Ghosh, U. (2016). Distribution of Eschar in Pediatric Scrub Typhus. Journal of Tropical Pediatrics, 62(5), 415-20. https://doi.org/10.1093/tropej/fmw027
Rose W, et al. Distribution of Eschar in Pediatric Scrub Typhus. J Trop Pediatr. 2016;62(5):415-20. PubMed PMID: 27122479.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Distribution of Eschar in Pediatric Scrub Typhus. AU - Rose,Winsley, AU - Rajan,Roshni J, AU - Punnen,Anu, AU - Ghosh,Urmi, Y1 - 2016/04/27/ PY - 2016/4/29/entrez PY - 2016/4/29/pubmed PY - 2017/9/5/medline KW - eschar KW - pediatric. KW - scrub typhus SP - 415 EP - 20 JF - Journal of tropical pediatrics JO - J Trop Pediatr VL - 62 IS - 5 N2 - BACKGROUND: Identifying an eschar in scrub typhus is useful for initiation of prompt and appropriate antibiotic therapy. METHODS: The distribution of eschars in all children <15 years of age admitted with confirmed scrub typhus over a 5 year period is described. RESULTS: Of 431 children admitted with scrub typhus, eschars were present in 176 (40.8%) children with the following distribution: head, face and neck, 33 (19.1%); axillae, 37 (21%); chest and abdomen, 21 (11.9%); genitalia, inguinal region and buttocks, 58 (33%); back, 8 (4.5%); upper extremities, 13 (7.4%); and lower extremities, 5 (2.8%). The commonest sites of eschars were scrotum (27 of 106; 25.5%) and axillae (15 of 106; 14.2%) in males and axillae (22 of 70; 31.4%) and groin (16 of 70; 22.9%) in females. Eschars were seen within skin folds in 100 of 176 (56.8%) children. CONCLUSION: Children should be carefully examined for the presence of eschar especially in the skin folds of the genitalia, axillae and groin to make an early diagnosis of scrub typhus. SN - 1465-3664 UR - https://www.unboundmedicine.com/medline/citation/27122479/Distribution_of_Eschar_in_Pediatric_Scrub_Typhus_ L2 - https://academic.oup.com/tropej/article-lookup/doi/10.1093/tropej/fmw027 DB - PRIME DP - Unbound Medicine ER -