SCRUB TYPHUS AS MISSED DIAGNOSIS FOR ACUTE FEBRILE ILLNESS IN MALAYSIA, SOUTHEAST ASIA
ELTANAHY, M., SHAH, K., ROUEE, A., YIH, T., HUI, C., LING, T., TUIYOTT, M., RAJANDRAM, K., WEI, C., QUINN, S., RASHAD, M., YUE, O., ELHARIRI, S. (2024). SCRUB TYPHUS AS MISSED DIAGNOSIS FOR ACUTE FEBRILE ILLNESS IN MALAYSIA, SOUTHEAST ASIA. EKB Journal Management System, 54(2), 235-240. doi: 10.21608/jesp.2024.373523
MOHAMED ABD ELWAHAB ELTANAHY; KHAISRO ALI SHAH; ALCAN TAN ROUEE; TEE HANN YIH; CHEK XIAO HUI; TAN JIA LING; MONA CHEPKOECH TUIYOTT; KEERAN A/L RAJANDRAM; CHENG JUNN WEI; SILVIA TEOW SU QUINN; MOHAMED MAHMOUD RASHAD; ONG QI YUE; SHERREEN Y. Z. ELHARIRI. "SCRUB TYPHUS AS MISSED DIAGNOSIS FOR ACUTE FEBRILE ILLNESS IN MALAYSIA, SOUTHEAST ASIA". EKB Journal Management System, 54, 2, 2024, 235-240. doi: 10.21608/jesp.2024.373523
ELTANAHY, M., SHAH, K., ROUEE, A., YIH, T., HUI, C., LING, T., TUIYOTT, M., RAJANDRAM, K., WEI, C., QUINN, S., RASHAD, M., YUE, O., ELHARIRI, S. (2024). 'SCRUB TYPHUS AS MISSED DIAGNOSIS FOR ACUTE FEBRILE ILLNESS IN MALAYSIA, SOUTHEAST ASIA', EKB Journal Management System, 54(2), pp. 235-240. doi: 10.21608/jesp.2024.373523
ELTANAHY, M., SHAH, K., ROUEE, A., YIH, T., HUI, C., LING, T., TUIYOTT, M., RAJANDRAM, K., WEI, C., QUINN, S., RASHAD, M., YUE, O., ELHARIRI, S. SCRUB TYPHUS AS MISSED DIAGNOSIS FOR ACUTE FEBRILE ILLNESS IN MALAYSIA, SOUTHEAST ASIA. EKB Journal Management System, 2024; 54(2): 235-240. doi: 10.21608/jesp.2024.373523

SCRUB TYPHUS AS MISSED DIAGNOSIS FOR ACUTE FEBRILE ILLNESS IN MALAYSIA, SOUTHEAST ASIA

Journal of the Egyptian Society of Parasitology
Article 8, Volume 54, Issue 2, August 2024, Page 235-240  XML PDF (2.95 MB)
DOI: 10.21608/jesp.2024.373523
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Authors
MOHAMED ABD ELWAHAB ELTANAHY1; KHAISRO ALI SHAH2; ALCAN TAN ROUEE2; TEE HANN YIH2; CHEK XIAO HUI2; TAN JIA LING2; MONA CHEPKOECH TUIYOTT2; KEERAN A/L RAJANDRAM2; CHENG JUNN WEI2; SILVIA TEOW SU QUINN2; MOHAMED MAHMOUD RASHAD2; ONG QI YUE2; SHERREEN Y. Z. ELHARIRIorcid 3
1Department of Paediatrics, School of Medicine, International Medical University (IMU) Clinical Campus, Batu Pahat
2Medical Graduated, International Medical University (IMU)
3Department of Surgery, School of Medicine, (IMU) Clinical Campus, Seremban, Malaysia
Abstract
Scrub typhus (Tsutsugamushi fever) is caused by Orientia tsutsugamushi (previous Rickettsia)
and is transmitted to man by a mite vector of the Trombiculidae family (Leptotrombidium
deliense and L. akamushi). Scrub typhus was confined geographically to the Asia Pacific region,
but now distributed in the tsutsugamushi triangle.
The patient usually presents with Eschar, a vesicular lesion at mite feeding site. Other complications
are fever, maculopapular rash on trunk, and spreading to limbs. Serious one in the form
of myocarditis, pneumonia, meningoencephalitis, jaundice acute renal failure, gastrointestinal
bleeding, and even acute respiratory distress syndrome may develop.
The fever and eschar supported the diagnosis, which was confirmed serological by Scrub Typus
IgM antibodies. The patient was improved by doxycycline injections. Doctors must be aware of
zoonotic bacterial infections, which are easily treatable on early diagnosing.
Keywords
Malaysia; Scrub typhus; IgM antibodies; tsutsugamushi disease
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