Singh Priyanka, Shete Vishal, Choudhary Abhijit, Gade Neeta, Mishra Meena
Department of Microbiology, All India Institute of Medical Sciences, Nagpur, Nagpur, IND.
Department of Pediatrics, All India Institute of Medical Sciences, Nagpur, Nagpur, IND.
Cureus. 2024 Jan 27;16(1):e53060. doi: 10.7759/cureus.53060. eCollection 2024 Jan.
Scrub typhus is a neglected tropical bacterial disease endemic in central India which can manifest as meningitis/meningoencephalitis in children. It is difficult to diagnose clinically, especially in the absence of eschar or rash. Scrub typhus is seldom considered the differential diagnosis of meningitis in the Indian subcontinent. Appropriate investigations can lead to early detection of infection and initiation of correct antibiotic treatment leading to better patient prognosis even when features of meningitis supervene. Here, we report a pediatric case of scrub typhus meningitis that could be saved due to timely investigations and initiation of appropriate antimicrobial agents.
恙虫病是一种被忽视的热带细菌性疾病，在印度中部地区流行，可在儿童中表现为脑膜炎/脑膜脑炎。临床上很难诊断，尤其是在没有焦痂或皮疹的情况下。在印度次大陆，恙虫病很少被视为脑膜炎的鉴别诊断。即使在出现脑膜炎症状时，进行适当的检查也能早期发现感染并开始正确的抗生素治疗，从而改善患者预后。在此，我们报告一例小儿恙虫病脑膜炎病例，由于及时检查并开始使用适当的抗菌药物，该患儿得以救治。
