A CLINICOEPIDEOMOLOGICAL AND LABORATORY PROFILE OF SCRUB TYPHUS IN A URBAN TERTIARY CARE HOSPITAL
Acute febrile illness is one of the common reasons for outpatient visits to any pediatric outpatient clinic. Prompt and accurate diagnosis plays a key role in preventing complications and mortality. Accurate diagnosis is achieved by astute clinical examination identification of differentiating features aided by laboratory parameters. Scrub typhus is one of the common illness along with Dengue fever which contribute to significant morbidity and mortality. The study was carried out in 76 children between 1 month and 12 years, admitted in Paediatric Department of Saveetha medical college and hospital, Thandalambetween March 2017 to March 2019.A total of 76 children with positive rapid IgM scrub typhus positive were studied of which 41 were boys and 35 were girls. Fever was the most common presentation and present in all the children. Gastrointestinal symptoms like vomiting (78%), abdominal pain (71%), and diarrhea (63%) were other common presentation. Apart from lymphadenopathy which was documented in most of the children. Edema (2.6%), oliguria (1.3%), septic shock (1.3%) were the less common presentations. Eschar was documented in 63.1% of the children. Among the laboratory parameters thrombocytopenia was the most common presentation present in 64.4 % of the children. Co infections were noticed in 6 children of whom 2 had typhoid, 2 had malaria and 2 children had dengue fever. Scrub typhus is one of the common causes of undifferentiated fevers and needs to be identified and appropriately managed to prevent complications.