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Symmetrical Peripheral Gangrene in an Indian Child with Severe Scrub Typhus
Prasanna Samynathan
Prasanna Samynathan
Division of Pediatric Critical Care, Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India;
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Neha Sharma
Neha Sharma
Division of Pediatric Critical Care, Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India;
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Priyanka Meena
Priyanka Meena
Division of Pediatric Critical Care, Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India;
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Manisha Biswal
Manisha Biswal
Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Suresh Kumar Angurana
sureshangurana@gmail.com
Suresh Kumar Angurana
Division of Pediatric Critical Care, Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India;
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Scrub typhus is one of the common causes for acute febrile illness in monsoon and post-monsoon season in our region. It usually presents as fever, rash, and thrombocytopenia with or without multiorgan dysfunction syndrome (MODS). Infrequently, it can cause focal or symmetrical peripheral gangrene (SPG). Here, we report a 5-year-old female who presented with acute febrile illness with MODS and SPG in bilateral lower limbs. The diagnosis of scrub typhus was confirmed with positive scrub typhus IgM antibodies. She recovered completely after combination therapy with doxycycline and azithromycin, and organ supportive therapy (mechanical ventilation, vasoactive drugs, and continuous renal replacement therapy) in the pediatric intensive care unit.
Author Notes
Current contact information: Prasanna Samynathan, Neha Sharma, Priyanka Meena, and Suresh Kumar Angurana, Division of Pediatric Critical Care, Department of Pediatrics, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research, Chandigarh, India, E-mails: samyannampras@gmail.com, and sharma.nehasharma062@gmail.com. Manisha Biswal, Department of Medical Microbiology, Postgraduate Institute of Medical Education and Research, Chandigarh, India, E-mail: manisha.biswal@gmail.com.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 423 | 423 | 423 |
| Full Text Views | 10 | 10 | 10 |
| PDF Downloads | 12 | 12 | 12 |