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Small joint polyarthritis - An unusual presentation of scrub typhus in a child.
Trop Doct. 2021 Oct; 51(4):631-633.TD

Abstract

Scrub typhus is a common Rickettsial infection which is endemic in tropical regions. It is characterised by fever, eschar, thrombocytopenia, lymphadenopathy and organomegaly. Scrub typhus has significant morbidity and mortality owing to its multisystemic involvement. Non-inflammatory polyarthritis of small joints is an uncommon presentation in paediatric scrub typhus. We discuss a five-year-old boy who presented with fever, small joint polyarthritis, hepatosplenomegaly and pathognomonic eschar with positive scrub IgM ELISA. Arthritis resolved completely with doxycycline therapy without any deformity.

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Authors+Show Affiliations

Mohandoss V
Senior Resident, Department of Pediatrics, Saveetha Medical College & Hospital, Chennai, India.
Srinath MV
Assistant Professor, Department of Pediatrics, Saveetha Medical College & Hospital, Chennai, India.
Kumar R
Professor, Department of Pediatrics, Saveetha Medical College & Hospital, Chennai, India.
Dev Kumar V
Junior Resident, Department of Pediatrics, Saveetha Medical College & Hospital, Chennai, India.
Chaudary DG
Assitant Professor, Department of Pediatrics, Saveetha Medical College & Hospital, Chennai, India.

MeSH

ArthritisChildChild, PreschoolDoxycyclineFeverHumansMaleOrientia tsutsugamushiScrub Typhus

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

34058913

Citation

Mohandoss, Vichithra, et al. "Small Joint Polyarthritis - an Unusual Presentation of Scrub Typhus in a Child." Tropical Doctor, vol. 51, no. 4, 2021, pp. 631-633.
Mohandoss V, Srinath MV, Kumar R, et al. Small joint polyarthritis - An unusual presentation of scrub typhus in a child. Trop Doct. 2021;51(4):631-633.
Mohandoss, V., Srinath, M. V., Kumar, R., Dev Kumar, V., & Chaudary, D. G. (2021). Small joint polyarthritis - An unusual presentation of scrub typhus in a child. Tropical Doctor, 51(4), 631-633. https://doi.org/10.1177/00494755211019326
Mohandoss V, et al. Small Joint Polyarthritis - an Unusual Presentation of Scrub Typhus in a Child. Trop Doct. 2021;51(4):631-633. PubMed PMID: 34058913.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Small joint polyarthritis - An unusual presentation of scrub typhus in a child. AU - Mohandoss,Vichithra, AU - Srinath,M V, AU - Kumar,Radha, AU - Dev Kumar,V, AU - Chaudary,Devanand Gulab, Y1 - 2021/05/31/ PY - 2021/6/2/pubmed PY - 2021/11/26/medline PY - 2021/6/1/entrez KW - Orientia tsutsugamushi KW - Scrub typhus KW - arthritis KW - child KW - polyarthritis SP - 631 EP - 633 JF - Tropical doctor JO - Trop Doct VL - 51 IS - 4 N2 - Scrub typhus is a common Rickettsial infection which is endemic in tropical regions. It is characterised by fever, eschar, thrombocytopenia, lymphadenopathy and organomegaly. Scrub typhus has significant morbidity and mortality owing to its multisystemic involvement. Non-inflammatory polyarthritis of small joints is an uncommon presentation in paediatric scrub typhus. We discuss a five-year-old boy who presented with fever, small joint polyarthritis, hepatosplenomegaly and pathognomonic eschar with positive scrub IgM ELISA. Arthritis resolved completely with doxycycline therapy without any deformity. SN - 1758-1133 UR - https://www.unboundmedicine.com/medline/citation/34058913/Small_joint_polyarthritis___An_unusual_presentation_of_scrub_typhus_in_a_child_ L2 - https://journals.sagepub.com/doi/10.1177/00494755211019326?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -