First case of scrub typhus with meningoencephalitis from Kerala: An emerging infectious threat
First case of scrub typhus with meningoencephalitis from Kerala: An emerging infectious threat
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DOI：
10.4103/0972-2327.95002
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发表时间：
2012-04-01
影响因子：
1.7
通讯作者：
Gafoor, V. Abdul
中科院分区：
文献类型：
--
作者：
Saifudheen, K.;Kumar, K. G. Sajeeth;Gafoor, V. Abdul
恙虫病是由恙虫病东方体引起的立克次体病，是亚太地区最常见的传染病之一。据报道，印度北部、东部和南部都有这种病毒的存在，并且至少有 11 个印度邦有其存在记录。然而，喀拉拉邦尚未充分记录恙虫病脑膜脑炎。我们报告了喀拉拉邦北部两例恙虫病脑膜脑炎病例。根据临床表现、焦痂的存在以及滴度 > 1:320 的 Weil-Felix 试验阳性做出诊断。第一位患者因呼吸衰竭去世，第二位患者情况良好。
Scrub typhus is a rickettsial disease caused by Orientia tsutsugamushi, one of the most common infectious diseases in the Asia-Pacific region. It has been reported from northern, eastern, and southern India, and its presence has been documented in at least 11 Indian states. However, scrub typhus meningoencephalitis has not been well documented in Kerala. We report two cases of scrub typhus meningoencephalitis from northern Kerala. The diagnosis was made based on the clinical pictures, presence of eschar, and a positive Weil-Felix test with a titer of > 1:320. The first patient succumbed to illness due to respiratory failure and the second patient improved well.