Scrub Typhus Co-infection in an Adolescent Girl with Varicella.
BACKGROUND
Co-infections with scrub typhus have been described quite frequently in adults but less frequently in children.


METHODS
An adolescent girl with varicella infection who had persistent fever. Associated clinical features like pain abdomen, vomiting, and features of third space losses made us suspect a co-infection. IgM and IgG antibodies by ELISA in acute and convalescent serum were suggestive of scrub typhus.


RESULTS
She recovered following a course of oral doxycycline.


CONCLUSIONS
In unexplained prolonged fever or atypical clinical manifestations not explainable by the primary disease process, co-infection needs to be considered.
Departments of Pediatrics and *Microbiology, Mahatma Gandhi Medical College and Research Institute, Pillaiyarkuppam, Puducherry, India. Correspondence: Dr V Soma, Assistant Professor, Department of Pediatrics, MGMCRI, Pillaiyarkuppam, Puducherry 607 402, India. drsomavenky@gmail.com.
Anandhi
A
Chandramohan
Soma
S
Venkatesh
Gunasekaran
G
Dhandapany
Selvaraj
S
Stephen
D000293:Adolescent; D002644:Chickenpox / Q000150:complications* / Q000175:diagnosis*; D015897:Comorbidity; D003937:Diagnosis, Differential; D005260:Female; D005335:Fever of Unknown Origin / Q000209:etiology; D006801:Humans; D007194:India; D012612:Scrub Typhus / Q000150:complications* / Q000175:diagnosis*