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Published on: June 15, 2019
Scrub typhus with sepsis and acute respiratory distress syndrome
Asok Kurup1, Aneesh Issac, Jin Phang Loh
1Mount Elizabeth Hospital, Singapore.
Abstract:
Scrub typhus is a major infectious threat in the Asia-Pacific region. We report an unusual case of scrub typhus in a patient in Singapore who presented with sepsis and acute respiratory distress syndrome but lacked the pathognomonic eschar. The patient recovered after appropriate diagnosis and doxycycline treatment. Rickettsial diseases should be included in the differential diagnosis of febrile illnesses in regions where the diseases are endemic, and absence of eschar should not be the criterion used to rule out scrub typhus.
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