PREVALANCE OF PULMONARY & RADIOLOGICAL MANISFESTATIONS IN SCRUB TYPHUS PATIENTS IN INDEX MEDICAL COLLEGE, INDORE

Abstract

Background & Method: 20 patients with scrub typhus who visited Index Medical College Hospital & Research Centre, Indore. Diagnosis of scrub typhus was made from blood samples based on serology (scrub typhus IgM / IgG antibody). We observed the following symptoms – eschar, cough, SOB, fever, chest pain, nausea /vomiting, abdominal pain, seizures, & the various laboratory investigations were done (TLC, ESR, S.CREATINE, LFT, SERUM ELECTROLYTES ETC.). CXR (PA / AP) were analysed on the basis of the presence, location and zonal predilection for consolidations, reticulo nodular shadows, hilar shadows and lower lobe haziness.

Conclusion: Pulmonary manifestation of Scrub typhus is uncommon. But can be fatal, particulary in the form of ARDS. Antibiotic therapy may prove beneficial in initial phase. In acute febrile illness (SCRUB TYPHUS), pulmonary symptoms and radiological menifestations should be rule out in early stages to prevent the mortality.

Keywords: Prevalance, Pulmonary, Radiological & Scrub Typhus.