Scrub typhus is a common infection in tropical countries affecting mainly the pediatric population. It is caused by Orientia tsutsugamushi with characteristic pathological change being focal or disseminated vasculitis. Main clinical symptoms involve fever, rash, headache, myalgia along with edema of the face and limbs. Lobar pneumonia is not a common manifestation of scrub typhus infection. Here, we discuss a case of a girl who presented with unilateral neck swelling with lobar pneumonia who turned up to be positive for scrub typhus infection.
Batra HV. Spotted fevers & typhus fever in Tamil Nadu. Indian J Med Res 2007;126(2):101.
Kamarasu K, Malathi M, Rajagopal V, et al. Serological evidence for wide distribution of spotted fevers & typhus fever in Tamil Nadu. Indian J Med Res 2007;126(2):128.
Mahajan SK, Rolain JM, Sankhyan N, et al. Pediatric scrub typhus in Indian Himalayas. Indian J Pediat 2008;75(9):947–949. DOI: 10.1007/s12098-008-0198-z.
Walker DH, Parks FM, Betz TG, et al. Histopathology and immunohistologic demonstration of the distribution of rickettsia typhi in fatal murine typhus. Am J Clin Pathol 1989;91(6):720–724. DOI: 10.1093/ajcp/91.6.720.
Varghese GM, Rajagopal VM, Trowbridge P, et al. Kinetics of IgM and IgG antibodies after scrub typhus infection and the clinical implications. Int J Infect Dis 2018;71:53–55. DOI: 10.1016/j.ijid.2018.03.018.