Scrub Typhus Case Report; Acute Febrile Illness in a Young Lady

Abstract

Adila Shaukat

We are reporting a case of young Indian lady with history of recent travel to India, presented with acute febrile illness. Initially she was treated with antibiotics with diagnosis of sepsis but she did not respond. Thorough investigations were done to find out the cause of her illness but all the workup was negative. Later on detailed examination revealed an eschar on the right thigh. Based upon the fact that she has a history of recent travel to Andhra Pradesh that is endemic for scrub typhus, with the presence of eschar on the right thigh, empirical treatment with doxycycline was started. Patient responded very well to the treatment and was discharged home. High clinical suspicion of scrub typhus is necessary for early diagnosis and treatment in patients coming from endemic area. Presence of eschar is pathognomic but its absence does not make the disease unlikely. Early diagnosis is associated with better outcomes.

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