Scrub Typhus Induced Thrombotic Thrombocytopenia: A Rare Case Report

Scrub typhus is a zoonotic disease caused by Orientia tsutsugamushi. The bacterial infection is spread via Trombiculidae mites. A 50-year-old male patient was admitted with a complaint of fever, cough, breathlessness, and irrelevant talk for five days. The patient was chronic alcoholic and hypertens...

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Main Authors: Maharshi Patel, Sourya Acharya, Samarth Shukla, Shubham Nimkar, Sunil Kumar
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-01-01
Series:Journal of Clinical and Diagnostic Research
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Online Access:https://jcdr.net/articles/PDF/20492/64201_260523_64201_CE[Ra1]_F(IS)_PF1(AG_KM)_PFA(AG_KM_IS)_PN(IS).pdf
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author Maharshi Patel
Sourya Acharya
Samarth Shukla
Shubham Nimkar
Sunil Kumar
author_facet Maharshi Patel
Sourya Acharya
Samarth Shukla
Shubham Nimkar
Sunil Kumar
author_sort Maharshi Patel
collection DOAJ
description Scrub typhus is a zoonotic disease caused by Orientia tsutsugamushi. The bacterial infection is spread via Trombiculidae mites. A 50-year-old male patient was admitted with a complaint of fever, cough, breathlessness, and irrelevant talk for five days. The patient was chronic alcoholic and hypertensive for one year. After investigation patient was positive for scrub typhus. The patient had hepatitis, renal failure, thrombocytopenia, and right lower lobe pneumonia. The cause of thrombocytopenia in scrub typhus individuals could be the development of Thrombotic Thrombocytopenic Purpura (TTP), Disseminated Intravascular Coagulation (DIC), and thrombotic microangiopathy. In scrub typhus patients, TTP and Multiple Organ Dysfunction Syndrome (MODS) can be avoided with early diagnosis and effective treatment. Further research is warranted in such conditions to understand the molecular mechanism as well as to prevent mortality.
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institution Kabale University
issn 2249-782X
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spelling doaj-art-3251b7896e9542e2887503b5f80edb3d2025-01-18T11:51:09ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-01-011901222410.7860/JCDR/2025/64201.20492Scrub Typhus Induced Thrombotic Thrombocytopenia: A Rare Case ReportMaharshi Patel0Sourya Acharya1Samarth Shukla2Shubham Nimkar3Sunil Kumar4Resident, Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.Professor and Head, Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.Professor, Department of Pathology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.Resident, Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.Professor, Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, Maharashtra, India.Scrub typhus is a zoonotic disease caused by Orientia tsutsugamushi. The bacterial infection is spread via Trombiculidae mites. A 50-year-old male patient was admitted with a complaint of fever, cough, breathlessness, and irrelevant talk for five days. The patient was chronic alcoholic and hypertensive for one year. After investigation patient was positive for scrub typhus. The patient had hepatitis, renal failure, thrombocytopenia, and right lower lobe pneumonia. The cause of thrombocytopenia in scrub typhus individuals could be the development of Thrombotic Thrombocytopenic Purpura (TTP), Disseminated Intravascular Coagulation (DIC), and thrombotic microangiopathy. In scrub typhus patients, TTP and Multiple Organ Dysfunction Syndrome (MODS) can be avoided with early diagnosis and effective treatment. Further research is warranted in such conditions to understand the molecular mechanism as well as to prevent mortality.https://jcdr.net/articles/PDF/20492/64201_260523_64201_CE[Ra1]_F(IS)_PF1(AG_KM)_PFA(AG_KM_IS)_PN(IS).pdfbacteriahepatitismitespneumoniarenal failure
spellingShingle Maharshi Patel
Sourya Acharya
Samarth Shukla
Shubham Nimkar
Sunil Kumar
Scrub Typhus Induced Thrombotic Thrombocytopenia: A Rare Case Report
Journal of Clinical and Diagnostic Research
bacteria
hepatitis
mites
pneumonia
renal failure
title Scrub Typhus Induced Thrombotic Thrombocytopenia: A Rare Case Report
title_full Scrub Typhus Induced Thrombotic Thrombocytopenia: A Rare Case Report
title_fullStr Scrub Typhus Induced Thrombotic Thrombocytopenia: A Rare Case Report
title_full_unstemmed Scrub Typhus Induced Thrombotic Thrombocytopenia: A Rare Case Report
title_short Scrub Typhus Induced Thrombotic Thrombocytopenia: A Rare Case Report
title_sort scrub typhus induced thrombotic thrombocytopenia a rare case report
topic bacteria
hepatitis
mites
pneumonia
renal failure
url https://jcdr.net/articles/PDF/20492/64201_260523_64201_CE[Ra1]_F(IS)_PF1(AG_KM)_PFA(AG_KM_IS)_PN(IS).pdf
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AT samarthshukla scrubtyphusinducedthromboticthrombocytopeniaararecasereport
AT shubhamnimkar scrubtyphusinducedthromboticthrombocytopeniaararecasereport
AT sunilkumar scrubtyphusinducedthromboticthrombocytopeniaararecasereport