Format

Send to

Choose Destination
Trans R Soc Trop Med Hyg. 2004 Jun;98(6):354-9.

Paediatric scrub typhus in Thailand: a study of 73 confirmed cases.

Author information

1
Department of Paediatrics, Hat-yai Hospital, Hat-yai, Songkla, Thailand.

Abstract

We studied 73 Thai children with scrub typhus (median age 9 years, range 3-14 years, male:female ratio 1.8:1). Most patients (86%) lived in rural areas. They presented with subacute fever (median, 9 d) with vomiting (35%), hepatomegaly (59%), splenomegaly (18%), and tachypnea (26%). Skin rash (7%), eschar (7%), and history of mite bite were rare. Blood leucocyte counts were usually normal but 19% of patients were thrombocytopenic. Twenty (22%) patients had pneumonia and six (8%) had neurological involvement. Defervescence occurred a median of 1 d and 3 d after initiation of doxycycline and chloramphenicol, respectively, and these responses were more rapid than in those who received other antibiotics or no treatment (P < 0.001). There was one death. Only 55% of the patients were initially diagnosed as having scrub typhus.

PMID:
15099991
DOI:
10.1016/j.trstmh.2003.10.011
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Silverchair Information Systems
Loading ...
Support Center