A Rare Case of Rickettsial Infection Presented as Febrile Delirium in a 4 Years Old Child from a Government Hospital, Andhra Pradesh, India

Abstract

Rama Prasad GS, Suhasini Mekala, Mallikarjuna M and Naresh Gadagani

We report here a documented case of Febrile delirium in a child caused by Rickettsiae. Rickettsial infection is a relatively under-diagnosed entity in children with fever and rash, probably due to low index of suspicion and the lack of definitive diagnostic facilities. Rickettsial infections can be treated effectively with anti-microbials; Devoloping countries may use Weil Felix test as a diagnostic method, if they remain undiagnosed and untreated, they are associated with significant morbidity and mortality. This differential diagnosis should be considered when a child is seen with fever and rash.

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