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Year : 2014  |  Volume : 6  |  Issue : 1  |  Page : 17-18

Scrub typhus presenting as an acute abdomen

1 Department of Medicine 4, Christian Medical College, Vellore, Tamil Nadu, India
2 Department of Medicine 1, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
PP Abhilash Kundavaram
Department of Medicine 4, Christian Medical College, Vellore, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-777X.127943

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Scrub typhus is a mite-borne infectious disease caused by Orientia tsutsugamushi, which presents as an acute febrile illness with headache, myalgia, breathlessness, and an eschar, a pathognomonic sign, in a varying proportion of patients. However, this illness can present unusually with fever and severe abdominal pain mimicking acute abdomen. A careful search for an eschar in all patients with an acute febrile illness would provide a valuable diagnostic clue and avoid unnecessary investigations and surgical exploration.

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2008 Journal of Global Infectious Diseases | Published by Wolters Kluwer - Medknow
Online since 10th December, 2008