BACKGROUND: Scrub typhus usually affects previously healthy active @entity1 and if undiagnosed or diagnosed late, may prove to be life-threatening. Diagnosis of @entity9556 should be largely based on a high index of suspicion and careful clinical, laboratory and epidemiological evaluation. OBJECTIVE: To describe the diverse clinical and laboratory manifestations of @entity9556 diagnosed in Mahatma Gandhi Medical College and Hospital, Jaipur. MATERIALS AND METHODS: All cases of @entity221 diagnosed as @entity9556 over a period of 3 months were analysed. Diagnosis was based on ELISA test for antibody detection against 56 kDa antigen. RESULTS: Forty-two cases of @entity9556 were seen over a period of 3 months (October, 2012-December, 2012). Common symptoms were high grade fever of 4-30 days duration, cough, haemoptysis and @entity1353 . Eschar was not seen even in a single @entity1 . Liver enzymes were elevated in nearly all cases (95.9%). @entity881 ( @entity881 ) was present in 16.66% of our @entity1 (7 out of 42). @entity551 (6 @entity1 , 14.2%), @entity8 (9 out of 15 @entity1 , 60%), acute @entity649 (4 @entity1 , 9.52%) and @entity693 (4 @entity1 , 9.52%) were some of the important complications. There was a dramatic response to @entity3403 in nearly all the @entity1 , but initially when the disease was not diagnosed, seven @entity1 had died. CONCLUSION: Scrub typhus has emerged as an important cause of @entity221 in Jaipur. Empirical treatment with @entity3403 is justified in endemic areas.

Recent outbreak of XXXX in North Western part of India.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'persons'] @entity8 :: ('MESH:D007674', 'Disease') :: ['renal impairment'] @entity9556 :: ('MESH:D012612', 'Disease') :: ['scrub typhus'] @entity1353 :: ('MESH:D004417', 'Disease') :: ['breathlessness'] @entity649 :: ('MESH:D012128', 'Disease') :: ['respiratory distress syndrome'] @entity3403 :: ('MESH:D004318', 'Chemical') :: ['doxycycline'] @entity693 :: ('MESH:D008581', 'Disease') :: ['meningitis'] @entity881 :: ('MESH:D009102', 'Disease') :: ['Multiple organ dysfunction syndrome', 'MODS'] @entity551 :: ('MESH:D007022', 'Disease') :: ['Hypotension'] @entity221 :: ('MESH:D005334', 'Disease') :: ['febrile illness']
@entity9556 :: (MESH:D012612,Disease) :: ['scrub typhus']
