Eschar in scrub typhus: A valuable clue to the diagnosis

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Eschar: a clue to scrub typhus.

E1152 CMAJ, October 18, 2011, 183(15) © 2011 Canadian Medical Association or its licensors A33-year-old man from a rural Taiwanese village was admitted with a three-day history of fever, headache, muscle pain and skin rashes. On examination, he was febrile (39.2°C) with generalized macular patches and an eschar measuring 15 mm on the left lower quadrant of his abdomen (Figure 1). His leukocyte ...

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Eschar: a cutaneous clue to scrub typhus.

60-year-oldmanpresentedwith a seven-day history of fever, eadache, fatigue, and decreased urine output. On examinaion, he was febrile (38 ◦C), and had tachycardia. A blackish kin lesion was noted on the right side of his neck (Fig. 1). scharwas not preceded by any pain or itching. His hemogram evealed a hemoglobin count of 11.8 gm/dL, total leukocyte ount of 6300/mm3, and a platelet count of 80...

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Usefulness of eschar PCR for diagnosis of scrub typhus.

We report here on the case of a child who was infected with scrub typhus, and we made the diagnosis according to the serology and by performing PCRs on the child's eschar. The patient was treated with azithromycin, and he did not experience any complications. Performing nested PCR on the eschar might be both a rapid diagnostic test for scrub typhus in the early acute stage and a differential te...

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Evolution of Eschar in Scrub Typhus

A 60-year-old man presented with fever that developed 1 day before admission. The patient had recently returned from collecting acorns in the mountains 8 days before admission. Physical examination revealed a 0.5 × 0.5-cm eschar on the right chest wall. Indirect immunofluorescent antibody testing revealed an Orientia tsutsugamushi antibody titer of 1:2,560. The appearance of eschar was evaluate...

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Eschar: an important clue to diagnosis.

To cite: Sundriyal D, Kumar N, Chandrasekharan A, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2013-010105 DESCRIPTION A 35-year-old woman, a farmer by occupation, resident of Uttranchal (a sub-Himalayan area) in India, presented in the emergency department with complaints of fever for 1 week and breathlessness for 2 days. Fever was high grade, intermit...

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ژورنال

عنوان ژورنال: Journal of Postgraduate Medicine

سال: 2013

ISSN: 0022-3859

DOI: 10.4103/0022-3859.123191