title: Scrub Typhus with Acute Respiratory Distress Syndrome (ARDS) and its Management in Intensive Care Unit: A Case Report.
abstract: Scrub typhus is zoonotic disease caused by Orientia tsutsugamushi (O tsutsugamushi). It is transmitted to humans by the bite of trombiculid mite larvae (chiggers). It is a re-emerging infectious disease in India. Clinical manifestations include fever, headache, anorexia, myalgia, eschar, adenopathy and maculopapular rash. Complications of Scrub typhus develop after first week of illness. Complications include meningoencephalitis, jaundice, myocarditis, ARDS and renal failure. Eschar and rash may be unnoticed or absent. Thorough physical examination, identification of eschar/rash throws light in thinking about scrub typhus, treating and preventing further complications. Here, we report a case of scrub typhus with Acute Respiratory Distress Syndrome (ARDS) and its management with non invasive ventilation in the intensive care unit.
authors.affiliation: Senior Consultant, Department of Critical Care, Medical ICU, Krishna Institute of Medical Sciences Hospitals , Secunderabad, India .
authors.forename: Srinivas
authors.initials: S
authors.lastname: Sankuratri
authors.affiliation: Assistant Professor, Department of Microbiology, Apollo Institute of Medical Sciences & Research , Jubilee Hills, Hyderabad, India .
authors.forename: Pavani
authors.initials: P
authors.lastname: Kalagara
authors.affiliation: Junior Consultant, Department of Critical Care, Medical ICU, Krishna Institute of Medical Sciences Hospitals , Secunderabad, India .
authors.forename: Kartika Balaji
authors.initials: KB
authors.lastname: Samala
authors.affiliation: Junior Consultant, Department of Critical Care, Medical ICU, Krishna Institute of Medical Sciences Hospitals , Secunderabad, India .
authors.forename: Prabhakar Krishna
authors.initials: PK
authors.lastname: Veledandi
authors.affiliation: Junior Consultant, Department of Critical Care, EMD, Krishna Institute of Medical Sciences Hospitals , Secunderabad, India .
authors.forename: Srinadh Babu
authors.initials: SB
authors.lastname: Atiketi
keywords: Eschar; Non-invasive positive pressure ventilation; Weil-Felix test; Zoonotic