Scrub typhus

A bacterial infection caused by Rickettsia typhi or Rickettsia felis. It is transmitted to humans from infected rat fleas. Symptoms include fever, headache, joint and muscle pain, and weakness.

Disease Alternative Name

endemic typhus
endemic typhus fever
endemic flea-borne typhus
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Eschar in scrub typhus

36 Views

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, 1 Answer


Concluded Case

A 69yrs old,moderately obese,non alcoholic landed in emergency( 1.00a.m )with the c/o yellowish discoloration of skin & ...See More

(Edited)

321 Views

, 3 Likes

, 8 Answers

Concluded answer

Jaundice with hepatomegaly with pleural Effusion Leucocytes too much raised Start cefoperazone 1gm bd Livofloxacin 100 bd Udiwok 300 tds Nebulization Pleural tapping needed send for Investigation For cystic lesion in liver biopsy needed ...


Concluded Case

How common is Trochlear nerve palsy

Paresis of right superior oblique muscle, post -infectious cranial neuropathy. Patient presented with diplopia on downwa...See More

115 Views

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, 6 Answers

Concluded answer

Diplopia while getting down staircase (looking down)is characteristic of 4th nerve palsy). But isolated 4th cranial nerve palsy is rare. Its an interesting case.The action of the nerve is looking downwards and inwards.


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