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Volume 12, Number 10—October 2006

Dispatch

Scrub Typhus in Himalayas

Sanjay K. Mahajan*Comments to Author , Jean-Marc Rolain†, Rajesh Kashyap*, Diprabhanu Bakshi‡, Vijay Sharma*, Bhupalngh Prasher*, Lalngh Pal*, and Didier Raoult†
Author affiliations: *IG Medical College, Shimla, Himachal Pradesh, India; †Université de la Méditerranée, Marseille, France; ‡Defence Research and Development Establishment, Gwalior, Madhya Pradesh, India

Main Article

Table 2

Distribution of clinical features in 21 patients with suspected scrub typhus, Himalayas, 2004

Clinical feature* Men
(n = 13) Women
(n = 8) Total (%)
Fever 13 8 21 (100)
Chills and rigor 10 5 15 (71.4)
Vomiting 6 3 9 (42.8)
Myalgia 4 4 8 (38.0)
Headache 4 4 8 (38.0)
Altered sensorium 2 3 5 (23.8)
Lymphadenopathy 9 2 11 (52.3)
Jaundice 5 6 11 (52.3)
Hepatomegaly 6 3 9 (42.8)
Congested eyes 5 2 7 (33.3)
Splenomegaly 4 3 7 (33.3)
Abdominal pain 2 4 6 (28.5)
Seizures 2 2 4 (19.0)
Cough 2 2 4 (19.0)
Abnormal bleeding 1 2 3 (14.2)
Eschar 2 0 2 (9.5)
Meningeal signs 1 1 2 (9.5)
Rash 2 0 2 (9.5)
Elevated transaminase levels 7 7 14 (66.7)
Renal dysfunction 8 6 14 (66.7)
Proteinuria 5 3 8 (38.1)
CSF abnormalities† 1 2 3 (14.3)
Acute RDS 1 1 2 (9.5)

*CSF, cerebrospinal fluid; RDS, respiratory distress syndrome.
†Elevated protein level and increased lymphocyte count.

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