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Dengue and Scrub Typhus: Management and Treatment
Dengue and scrub typhus is endemic in many parts of India and Asia Pacific region and is considered to be a major cause of acute undifferentiated febrile illness. It is difficult to differentiate both the infections at their initial presentation as they share similar clinico-epidemiological features. Mosquito-borne infection, dengue is caused by one of the four dengue virus serotypes belonging to the genus Flavivirus. Despite providing supportive management, mortality rates due to dengue shock syndrome (DSS) and dengue hemorrhagic fever ranges from 3% to 11%. Scrub typhus is caused by Gram-negative intracellular bacterium, Orientia tsutsugamushi. It is associated with a 14%-20% mortality rate due to delay in diagnosis and initiation of antibiotic therapy. Hence, early detection is crucial in the management of these infections and can improve patient outcomes.
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Dr. Harikishan Boorugu
Internal Medicine Yashoda Hospital
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Dengue and scrub typhus is endemic in many parts of India and Asia Pacific region and is considered to be a major cause of acute undifferentiated febrile illness. It is difficult to differentiate both the infections at their initial presentation as they share similar clinico-epidemiological features. Mosquito-borne infection, dengue is caused by one of the four dengue virus serotypes belonging to the genus Flavivirus. Despite providing supportive management, mortality rates due to dengue shock syndrome (DSS) and dengue hemorrhagic fever ranges from 3% to 11%. Scrub typhus is caused by Gram-negative intracellular bacterium, Orientia tsutsugamushi. It is associated with a 14%-20% mortality rate due to delay in diagnosis and initiation of antibiotic therapy. Hence, early detection is crucial in the management of these infections and can improve patient outcomes.
- 0
Dengue and scrub typhus is endemic in many parts of India and Asia Pacific region and is considered to be a major cause of acute undifferentiated febrile illness. It is difficult to differentiate both the infections at their initial presentation as they share similar clinico-epidemiological features. Mosquito-borne infection, dengue is caused by one of the four dengue virus serotypes belonging to the genus Flavivirus. Despite providing supportive management, mortality rates due to dengue shock syndrome (DSS) and dengue hemorrhagic fever ranges from 3% to 11%. Scrub typhus is caused by Gram-negative intracellular bacterium, Orientia tsutsugamushi. It is associated with a 14%-20% mortality rate due to delay in diagnosis and initiation of antibiotic therapy. Hence, early detection is crucial in the management of these infections and can improve patient outcomes.