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Acute intravascular haemolysis associated with scrub typhus
Debapratim Ganguly1, Atanu Chandra2, Swarnojit Maitra1
1Internal Medicine, Midnapore Medical College and Hospital, Midnapore, West Bengal, India.
BMJ Case Reports
|July 3, 2024
Summary
Scrub typhus can cause severe intravascular haemolysis, a rare complication. Early diagnosis and doxycycline treatment led to a full recovery in this case.
Area of Science:
- Tropical medicine
- Infectious diseases
- Hematology
Background:
- Scrub typhus is a significant public health concern in tropical regions.
- Unusual complications of scrub typhus require prompt recognition and management.
Observation:
- A young male presented with fever, dark urine, and intravascular haemolytic anaemia.
- A characteristic eschar on the buttock indicated scrub typhus infection.
Findings:
- Scrub typhus IgM ELISA and PCR confirmed the diagnosis.
- The patient exhibited severe intravascular haemolysis, a notable complication.
Implications:
- This case underscores the importance of considering scrub typhus in febrile patients with haemolytic anaemia.
- Prompt treatment with doxycycline is crucial for favorable outcomes in complicated scrub typhus cases.
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