Profile of Pediatric Scrub Typhus in Odisha, India.Indian Pediatr 2019; 56(4):304-306IP
To investigate the distribution and clinical profile of scrub typhus infection among children with acute febrile illness in Odisha.
Children (<15 y) presenting with acute fever (>5 days) in 4 agro-climatic zones from June to November 2017 were evaluated. Patients were screened for malaria, leptospira, dengue, typhoid and scrub typhus. Scrub typhus was confirmed by IgM ELISA and PCR.
Out of 413 cases examined, 48.7% were positive for scrub typhus, and 5.5% of them developed systemic complications. Eschar was found in 17.9% of cases. Five days treatment of Doxycycline and/or Azithromycin was clinically effective against scrub typhus.
Our study highlights that scrub typhus is one of the causes of high morbidity in children during rainy months in Odisha.