Volume 12, Number 10—October 2006
Dispatch
Scrub Typhus in Himalayas
Sanjay K. Mahajan*
, Jean-Marc Rolain†, Rajesh Kashyap*, Diprabhanu Bakshi‡, Vijay Sharma*, Bhupalngh Prasher*, Lalngh Pal*, and Didier Raoult†
, Jean-Marc Rolain†, Rajesh Kashyap*, Diprabhanu Bakshi‡, Vijay Sharma*, Bhupalngh Prasher*, Lalngh Pal*, and Didier Raoult†
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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