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Scrub typhus-related hepatotoxicity: The Indian scenario
Pravin Rathi1, Khwaja A Siddiqui2, Parth Shah2
1Consultant Gastroenterologist, 29448Bombay Hospital and Medical Research Centre, Mumbai, India.
Abstract:
In Scrunb Typhus, hepatotoxicity is an important, yet understudied, manifestation. We reviewed studies on scrub typhus, published in the last five years (2014-2019), which evaluated its clinico-epidemiological factors in India, and concentrated on its hepatic involvement. Nine studies were found, and no Indian study exclusively evaluated hepatic dysfunction. Thus, comments from a few international studies were also included. We conclude that liver dysfunction in the form of elevated serum transaminase levels is a common manifestation of scrub typhus, which may herald progress to fulminant hepatic failure.
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