Nazeera Nahas N, M Sreelakshmi, Mathew Abin, Basheer Aneesh
General Medicine, Dr. Moopen's Medical College, Wayanad, IND.
Cureus. 2024 May 21;16(5):e60732. doi: 10.7759/cureus.60732. eCollection 2024 May.
A 34-year-old male, with no history of known previous disease, employed at a ginger farm in South India, presented with a four-day history of high-grade fever and headache. Initially, he received symptomatic treatment but was referred due to hypotension and persistent fever. Investigations showed leucocytosis, thrombocytopenia, abnormal liver function tests, renal dysfunction, and elevated C-reactive protein. Positive results were obtained for immunoglobulin M (IgM) and scrub typhus IgM tests, indicating a coinfection, reported rarely from this region. Timely clinical suspicion, prompt laboratory diagnosis, and early treatment with doxycycline and broad-spectrum antibiotics are crucial to prevent complications and fatal outcomes in such coinfections.
一名34岁男性，既往无已知疾病史，受雇于印度南部的一个生姜农场，出现了持续四天的高热和头痛症状。起初，他接受了对症治疗，但因低血压和持续发热而被转诊。检查显示白细胞增多、血小板减少、肝功能检查异常、肾功能障碍以及C反应蛋白升高。免疫球蛋白M（IgM）和恙虫病IgM检测结果呈阳性，表明存在合并感染，该地区鲜有此类报告。对于此类合并感染，及时的临床怀疑、迅速的实验室诊断以及早期使用强力霉素和广谱抗生素进行治疗对于预防并发症和致命后果至关重要。
