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Scrub typhus presenting as an acute abdomen
Abhilash Pp Kundavaram1, Sohini Das2, Varghese M George2
1Department of Medicine 4, Christian Medical College, Vellore, Tamil Nadu, India.
Abstract:
Scrub typhus is a mite-borne infectious disease caused by Orientia tsutsugamushi, which presents as an acute febrile illness with headache, myalgia, breathlessness, and an eschar, a pathognomonic sign, in a varying proportion of patients. However, this illness can present unusually with fever and severe abdominal pain mimicking acute abdomen. A careful search for an eschar in all patients with an acute febrile illness would provide a valuable diagnostic clue and avoid unnecessary investigations and surgical exploration.
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