Scrub typhus-experience from a South Indian tertiary care hospital

Results All these adult patients hailed from the rural Telangana region of Andhra Pradesh. Eighteen out of 48 were farmers. The average duration of fever was 11days. Eschar was noted in only 12.5% patients. Cough and breathlessness occurred in 30% cases. Central nervous system manifestations in the form of drowsiness and seizures were seen in 25% cases. Signs of consolidation were seen in 40% of cases. Thrombocytopenia was seen in 37.5% patients. All patients had elevation of SGOT and SGPT, while 52% patients had elevation of serum alkaline phosphatase. Acute renal failure was seen in 33% patients. 10.4% patients required mechanical ventilation and6.25% died of multiorgan failure.