Severe condition of Scrub Typhus Meningo- encephalitis in a child: a case report from Delhi, India
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Abstract
Intracellular parasites are the causative organism of Rickettsial diseases which are pathophysiologically associated with vascular endothelium and reticuloendothelial cells. Scrub typhus is one of the rickettsial infections, where fever is a common symptom. Apart from this, non specific constitutional symptoms and sometimes organ based deterioration including CNS has also been observed. There are reports of scrub typhus with CNS complication like meningoencephalitis in adolescent and adults from various parts of India but not from Delhi. Recently few cases of scrub typhus in adults were reported from Delhi without involvement of CNS. Its occurrence as severe case of hemorrhagic fever with meningo-encephalitis is rarer in children and not so far reported from state of Delhi. We present a case of 4 year old female child from Delhi presenting with scrub typhus meningo-encephalitis, whose timely diagnosis and management saved her life and make us notice the emergence of meningoencephalitic like picture in children in Delhi.
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References
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