Digital Gangrene Associated with Scrub Typhus: A Case Series

Author:

Singh Jitendra1,Dinkar Anju23,Kumar Nilesh1,Kumar Kailash1,Tejan Nidhi2

Affiliation:

1. Department of General Medicine, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India;

2. Department of Microbiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India;

3. Department of Microbiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India

Abstract

ABSTRACT. Rickettsial diseases cover a broad spectrum of illnesses. Scrub typhus is present worldwide, and Orientia tsutsugamushi is the causative agent of this chigger mite–borne infectious illness. Infections exhibit a range of severity, from mild illness to the more severe manifestation of multiorgan failure. We report three cases of scrub fever (55-year-old female, 63-year-old female, and 29-year-old male), all cases developed focal or pan-digital gangrene. All cases were successfully treated by administering doxycycline and additional supportive measures. Digital gangrene is uncommon in scrub typhus. Clinical suspension for early diagnosis and appropriate treatment may avoid further complications.

Publisher

American Society of Tropical Medicine and Hygiene

Reference17 articles.

1. Digital gangrene: a rare complication in scrub typhus;Dave,2020

2. Scrub typhus: historic perspective and current status of the worldwide presence of Orientia species;Richards,2020

3. The burden of scrub typhus in India: a systematic review;Devasagayam,2021

4. Goldman: Cecil Textbook of Medicine;Hornick

5. Scrub typhus and tropical rickettsioses;Watt,2003

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