Massive consolidation: a rare manifestation of paediatric Scrub typhus.
Despite resurgence in the number of Scrub typhus cases, it still poses a diagnostic challenge as there is no prototype presentation. We report a case of a child with Scrub typhus who developed a massive consolidation. Despite such an extensive consolidation, respiratory symptoms such as cough and breathlessness were inconspicuous thereby posing a diagnostic dilemma. Upon serological confirmation, doxycycline therapy was initiated with a rapid and complete resolution of the pneumonia, both clinically and radiologically. The case is being reported to highlight this unusual presentation of Scrub typhus in children.
Department of Pediatrics, ESI-PGIMSR, Chennai, Tamil Nadu, India.
Kumar
K
Manickam
Satheeshkumar
S
Sunderkumar
Sridharan
S
Chinnaraj
Shobhana
S
Sivathanu
D000284:Administration, Oral; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D002648:Child; D003937:Diagnosis, Differential; D004305:Dose-Response Relationship, Drug; D004318:Doxycycline / Q000008:administration & dosage*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012285:Orientia tsutsugamushi / Q000302:isolation & purification*; D018410:Pneumonia, Bacterial / Q000175:diagnosis* / Q000188:drug therapy; D013902:Radiography, Thoracic; D012612:Scrub Typhus / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology
D000900:Anti-Bacterial Agents; D004318:Doxycycline