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Profile of Pediatric Scrub Typhus in Odisha, India.
Indian Pediatr 2019; 56(4):304-306IP

Abstract

OBJECTIVE

To investigate the distribution and clinical profile of scrub typhus infection among children with acute febrile illness in Odisha.

METHODS

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.

RESULTS

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.

CONCLUSIONS

Our study highlights that scrub typhus is one of the causes of high morbidity in children during rainy months in Odisha.

Authors+Show Affiliations

ICMR-Regional Medical Research Centre, Bhubaneswar, Odisha, India.Naba Diganta Primary Care Hospital, Keonjhar, Bhubaneswar, Odisha, India.Apollo Hospitals, Bhubaneswar, Odisha, India.All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.ICMR-Regional Medical Research Centre, Bhubaneswar, Odisha, India.ICMR-Regional Medical Research Centre, Bhubaneswar, Odisha, India. Correspondence to: Dr Manoranjan Ranjit, Scientist-F, ICMR-Regional Medical Research Centre, Chandrasekharpur, Bhubaneswar 751 023, Odisha. ranjit62@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31064899

Citation

Bal, Madhusmita, et al. "Profile of Pediatric Scrub Typhus in Odisha, India." Indian Pediatrics, vol. 56, no. 4, 2019, pp. 304-306.
Bal M, Mohanta MP, Sahu S, et al. Profile of Pediatric Scrub Typhus in Odisha, India. Indian Pediatr. 2019;56(4):304-306.
Bal, M., Mohanta, M. P., Sahu, S., Dwibedi, B., Pati, S., & Ranjit, M. (2019). Profile of Pediatric Scrub Typhus in Odisha, India. Indian Pediatrics, 56(4), pp. 304-306.
Bal M, et al. Profile of Pediatric Scrub Typhus in Odisha, India. Indian Pediatr. 2019 04 15;56(4):304-306. PubMed PMID: 31064899.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Profile of Pediatric Scrub Typhus in Odisha, India. AU - Bal,Madhusmita, AU - Mohanta,Mahesh Prasad, AU - Sahu,Suneeta, AU - Dwibedi,Bhagirathi, AU - Pati,Sanghamitra, AU - Ranjit,Manoranjan, PY - 2019/5/9/entrez PY - 2019/5/9/pubmed PY - 2019/8/17/medline SP - 304 EP - 306 JF - Indian pediatrics JO - Indian Pediatr VL - 56 IS - 4 N2 - OBJECTIVE: To investigate the distribution and clinical profile of scrub typhus infection among children with acute febrile illness in Odisha. METHODS: 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. RESULTS: 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. CONCLUSIONS: Our study highlights that scrub typhus is one of the causes of high morbidity in children during rainy months in Odisha. SN - 0974-7559 UR - https://www.unboundmedicine.com/medline/citation/31064899/Profile_of_Pediatric_Scrub_Typhus_in_Odisha_India_ L2 - https://www.indianpediatrics.net/apr2019/304.pdf DB - PRIME DP - Unbound Medicine ER -