title: Scrub typhus masquerading as acute pancreatitis.
abstract: The clinical spectrum of scrub typhus ranges from mild to fatal depending on the virulence of bacterial strain, susceptibility of the host and promptness with which treatment is started. We report a case of a 14-year-old child with scrub typhus who developed acute pancreatitis. On serological confirmation, doxycycline therapy was started. The patient responded well and had no complications on follow-up. This case report highlights the importance of recognising an uncommon presentation of this common tropical disease, and its prompt diagnosis and early treatment for prevention of serious complications of the condition.
authors.affiliation: Department of General Medicine, Government Medical College and Hospital, Chandigarh, Punjab, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Chaturvedi
authors.affiliation: Department of Medicine, Government Medical College and Hospital, Chandigarh, Punjab, India.
authors.forename: Monica
authors.initials: M
authors.lastname: Gupta
authors.affiliation: Department of General Medicine, Government Medical College and Hospital, Chandigarh, Punjab, India.
authors.forename: Shweta
authors.initials: S
authors.lastname: Bhardwaj
authors.affiliation: Department of General Medicine, Government Medical College and Hospital, Chandigarh, Punjab, India.
authors.forename: Dipti
authors.initials: D
authors.lastname: Handa
mesh_terms: D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D005260:Female; D006801:Humans; D010195:Pancreatitis / Q000382:microbiology*; D012612:Scrub Typhus / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents; D004318:Doxycycline