RNT Medical College, Udaipur, Rajasthan.
J Assoc Physicians India. 2022 Apr;70(4):11-12.
Scrub typhus is also known as tsutsugamushi disease or bush typhus. It is a mite-borne acute febrile illness caused by Gram-negative intracellular organism called Orientia tsutsugamushi, which belongs to the family of Rickettsiaceae. The aims and objectives are to study the epidemiological patterns, different clinical manifestations and complications associated with scrub typhus.
This was a prospective study which was carried out over a period of 12 months from January 2019 to December 2019 in patients of scrub typhus admitted in various medical wards of MB Govt. Hospital and RNT Medical College, Udaipur, Rajasthan.
All the patients admitted with history of acute febrile illness suspected to be scrub typhus were assessed in the study. All these patients were evaluated by the set protocol in the form of detailed history, physical examination and relevant systemic examination. A total of 3,814 suspected patients of scrub typhus were tested in our microbiology laboratory and 1,340 patients were reported positive. Out of these, only 480 patients who were admitted in our medical wards were enrolled in our study and evaluated.
We conclude that in rural Rajasthan, any patient who presents with fever, myalgia, hepatosplenomegaly and multiorgan dysfunction syndrome, a diagnosis of scrub typhus should be suspected.
恙虫病又称丛林斑疹伤寒或丛林型斑疹伤寒。它是一种由革兰氏阴性细胞内病原体恙虫东方体引起的、由恙螨传播的急性发热性疾病，属于立克次体科。目的是研究恙虫病的流行病学模式、不同临床表现和并发症。
这是一项前瞻性研究，于 2019 年 1 月至 12 月在拉贾斯坦邦乌代浦的 MB 政府医院和 RNT 医学院的各个医疗病房中患有恙虫病的患者中进行，为期 12 个月。
所有因疑似恙虫病而急性发热入院的患者均在本研究中进行评估。所有这些患者均通过详细病史、体格检查和相关系统检查的既定方案进行评估。在我们的微生物实验室中总共检测了 3814 例疑似恙虫病患者，报告了 1340 例阳性。在这些患者中，只有在我们的内科病房住院的 480 名患者被纳入我们的研究并进行评估。
我们的结论是，在拉贾斯坦邦农村，任何出现发热、肌痛、肝脾肿大和多器官功能障碍综合征的患者，都应怀疑为恙虫病。
