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Scrub Typhus in a New Born

Mamta Jajoo1, Dipti Kumar2, Sameeksha Manchanda3

  • 1Associate Professor, Department of Paediatrics, Chacha Nehru Bal Chikitsalaya, Delhi, India.

Journal of Clinical and Diagnostic Research : JCDR
|October 4, 2017
PubMed

Insights

Scrub typhus, a mite-borne illness, is rarely seen in newborns. This case highlights a 19-day-old infant successfully treated for scrub typhus presenting as severe sepsis.

Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Pediatrics

Background:

  • Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi, a bacterium transmitted by mites.
  • Neonatal scrub typhus is extremely rare, posing diagnostic challenges due to non-specific symptoms.

Observation:

  • A 19-day-old neonate presented with symptoms suggestive of severe sepsis.
  • Initial clinical presentation mimicked bacterial sepsis, delaying definitive diagnosis.

Findings:

  • The neonate was diagnosed with primary scrub typhus infection.
  • Prompt administration of appropriate treatment led to a rapid and complete recovery.

Implications:

  • This case underscores the importance of considering scrub typhus in neonates with sepsis-like symptoms, even in non-endemic areas.
  • Early diagnosis and treatment of neonatal scrub typhus can prevent severe complications and ensure favorable outcomes.
Keywords:
AntenatalCytomegalovirusRickettsiaSepsisTrombiculid mites

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