Digital Gangrene Associated with Scrub Typhus: A Case Series

Jitendra Singh Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India;

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Anju Dinkar Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India;
Department of Microbiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India

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Nilesh Kumar Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India;

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Kailash Kumar Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India;

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Nidhi Tejan Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India;

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ABSTRACT.

Rickettsial diseases cover a broad spectrum of illnesses. Scrub typhus is present worldwide, and Orientia tsutsugamushi is the causative agent of this chigger mite–borne infectious illness. Infections exhibit a range of severity, from mild illness to the more severe manifestation of multiorgan failure. We report three cases of scrub fever (55-year-old female, 63-year-old female, and 29-year-old male), all cases developed focal or pan-digital gangrene. All cases were successfully treated by administering doxycycline and additional supportive measures. Digital gangrene is uncommon in scrub typhus. Clinical suspension for early diagnosis and appropriate treatment may avoid further complications.

Author Notes

Authors’ addresses: Jitendra Singh, Nilesh Kumar, and Kailash Kumar, Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India, E-mails: drjitengsvm@gmail.com, nilesharreno19@gmail.com, and kkg@bhu.ac.in. Anju Dinkar, Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India and Department of Microbiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India, E-mail: dranjudinkar@gmail.com. Nidhi Tejan, Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India, E-mail: drnidhitejan@gmail.com.

Address correspondence to Anju Dinkar, Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India. E-mail: dranjudinkar@gmail.com
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