Scrub typhus mimicking enteric fever; a report of three patients

Trans R Soc Trop Med Hyg. 2010 Apr;104(4):309-10. doi: 10.1016/j.trstmh.2009.08.011. Epub 2009 Sep 17.

Abstract

We report three patients who presented with fever and late onset diarrhoea mimicking enteric fever. All three patients were diagnosed with an Orientia tsutsugamushi infection and responded dramatically to doxycycline treatment. Clinicians practicing in rickettsial disease endemic areas should be made aware of similar clinical presentations in order to prevent morbidity and mortality associated with rickettsioses.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Diagnosis, Differential
  • Diarrhea / etiology
  • Doxycycline / therapeutic use
  • Female
  • Humans
  • Male
  • Middle Aged
  • Scrub Typhus / diagnosis*
  • Scrub Typhus / drug therapy
  • Treatment Outcome
  • Typhoid Fever / diagnosis*

Substances

  • Anti-Bacterial Agents
  • Doxycycline