COVID-19 MIS-C ( MULTISYSTEM INFLAMMATORY SYNDROME IN CHILDREN) LIKE PRESENTATION WITH RARE ASSOCIATION OF SCRUB TYPHUS : A CASE SERIES.-Reference-Cited by-同舟云学术

COVID-19 MIS-C ( MULTISYSTEM INFLAMMATORY SYNDROME IN CHILDREN) LIKE PRESENTATION WITH RARE ASSOCIATION OF SCRUB TYPHUS : A CASE SERIES.

Published:2021-12-01 Issue: Volume: Page:66-67
ISSN:
Container-title:INDIAN JOURNAL OF APPLIED RESEARCH
language:en
Short-container-title:IJAR

Author:

Mandal Achinta¹,Ghosh Shilpi²,Sarkar Shreya²,Laha Sumanta³,Barik Kanai Lal⁴,Obayed Abu²

Affiliation:

1. Assistant Professor, Department of Paediatric Medicine, Burdwan Medical College , Burdwan,West Bengal.

2. Junior Resident, Department of Paediatric Medicine, Burdwan Medical College, Burdwan,West Bengal.

3. Associate Professor, Department of Paediatric Medicine, Burdwan Medical College, Burdwan,West Bengal

4. Professor, Department of Paediatric Medicine, Burdwan Medical College , Burdwan,West Bengal.

Abstract

Introduction: Recently there is a surge of post COVID-19 MIS-C cases worldwide. Its diagnosis becomes challenging when a case presented with MIS-C like feature associated with scrub typhus infection. Method: Our cases presented with high fever, neurological and gasrtointestinal symptoms, rash and non-purulant conjunctivitis . All the cases have high inammatory markers like ESR,CRP,LDH,ferritin,IL6 with elevated D-dimer and CPK-MB in case 1 and 2. Echocardiographic abnormality was present in rst two cases and SARS-CoV-2 Ab was positive in all . Due to their MIS-C like presentation we treated with methyl prednisolone , IVIG, enoxaparin and oral aspirin but fever did not responded .Then after getting the Scrub IgM Ab positive and discovering eschar in third case we started doxycycline and the patients were discharged in stable condition. Conclusion: Tropical infections like scrub typhus may be associated with a post COVID-19 MIS-C like presentation.

Publisher

World Wide Journals

Reference8 articles.

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4. Peter JV, Sudarsan TI, Prakash JA, Varghese GM. Severe scrub typhus infection: clinical features, diagnostic challenges and management. World J Crit Care Med.2015;4:244-250.

5. Gupta A, Gill A . Multisystem Inflammatory Syndrome in a child with Scrub Typhus and Macrophage Activation Syndrome.J Trop Pediatr.2021 Jan 29; 67(1). .