title: Pregnancy with scrub typhus and vertical transmission: a case report.
abstract: Scrub typhus is a rickettsian disease which is seldom found in pregnancy. A 31-year-old, 34 weeks pregnant woman presented with fever, chill and cough for 6 weeks. Fetal jeopardy was found then a cesarean section was performed to deliver a 2,200 g male with hepatosplenomegaly. The mother's diagnosis was confirmed by positive Weil-Felix (OXK titer 1:320) and scrub typhus (titer 1:1600) tests. Vertical transmission was also demonstrated by a positive scrub typhus IgM in her child.
authors.affiliation: Department of Obstetrics and Gynaecology, Faculty of Medicine, Prince of Songkla University, Thailand.
authors.forename: T
authors.initials: T
authors.lastname: Suntharasaj
authors.forename: W
authors.initials: W
authors.lastname: Janjindamai
authors.forename: S
authors.initials: S
authors.lastname: Krisanapan
mesh_terms: D000328:Adult; D000907:Antibodies, Bacterial / Q000097:blood; D005260:Female; D006801:Humans; D007075:Immunoglobulin M / Q000097:blood; D007231:Infant, Newborn; D018445:Infectious Disease Transmission, Vertical; D008297:Male; D008431:Maternal-Fetal Exchange; D012285:Orientia tsutsugamushi / Q000276:immunology; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000097:blood / Q000175:diagnosis* / Q000276:immunology; D011263:Pregnancy Trimester, Third; D012612:Scrub Typhus / Q000175:diagnosis* / Q000635:transmission*
chemical_list: D000907:Antibodies, Bacterial; D007075:Immunoglobulin M