Journal of Postgraduate Medicine
 Open access journal indexed with Index Medicus & EMBASE  
     Home | Subscribe | Feedback  

ORIGINAL ARTICLE
[View FULLTEXT] [Download PDF
 
Year : 2013  |  Volume : 59  |  Issue : 3  |  Page : 177-178  

Eschar in scrub typhus: A valuable clue to the diagnosis

AP Kundavaram, AJ Jonathan, SD Nathaniel, GM Varghese 
 Department of Medicine, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
A P Kundavaram
Department of Medicine, Christian Medical College, Vellore, Tamil Nadu
India

Background: Scrub typhus is an acute febrile illness widely prevalent in the «SQ»tsutsugamushi triangle«SQ» region of the world. Clinical features include fever, myalgia, headache, rash, and a pathognomonic eschar. An eschar is formed by the bite of chigger mite that inoculates the causative agent of Scrub typhus Orientia tsutsugamushi. The aim of this study is to determine the most common sites of eschars over the bodies of patients with Scrub typhus. Materials and Methods: In a retrospective analysis, we examined a total of 418 patients who presented to Christian Medical College, Vellore between 2009 and 2012 with an acute febrile illness and an eschar on clinical examination and confirmed to have scrub typhus with a positive Scrub typhus IgM ELISA test. We studied the distribution of eschars over the bodies of 418 patients with Scrub typhus. Results: There was a significant difference in the distribution of eschars between males and females with a preponderance of the chest and abdomen (42.3%) among females and the axilla, groin and genitalia (55.8%) in males. Some unusual sites of an eschar were the cheek, ear lobe and dorsum of the feet. Conclusion: The eschar is the most useful diagnostic clue in patients with acute febrile illness in areas endemic for Scrub typhus and therefore should be thoroughly examined for its presence especially over the covered areas such as the groin, genitalia, infra-mammary area and axilla.


How to cite this article:
Kundavaram A P, Jonathan A J, Nathaniel S D, Varghese G M. Eschar in scrub typhus: A valuable clue to the diagnosis.J Postgrad Med 2013;59:177-178


How to cite this URL:
Kundavaram A P, Jonathan A J, Nathaniel S D, Varghese G M. Eschar in scrub typhus: A valuable clue to the diagnosis. J Postgrad Med [serial online] 2013 [cited 2022 Oct 1 ];59:177-178
Available from: https://www.jpgmonline.com/article.asp?issn=0022-3859;year=2013;volume=59;issue=3;spage=177;epage=178;aulast=Kundavaram;type=0


 
Saturday, October 1, 2022
 Site Map | Home | Contact Us | Feedback | Copyright  and disclaimer