European Journal of Cardiovascular Medicine

Aim: To study epidemiological and clinical profile of Scrub typhus in hospitalised patients of SMS hospital, Jaipur. Materials and Methods: All the cases of febrile illness diagnosed as scrub typhus were analysed. Diagnosis was made by ELISA based IgM serology. Results:  Of the 159 cases, 29.56% belonged to age group 18 - 25 years and female populations were more commonly affected 55%. Common symptoms were high grade fever, headache, myalgia, cough and breathlessness followed by nausea and vomiting. Eschar was seen in 28 cases (17.6%) and the common sites were axilla, chest and groin. Thrombocytopenia was present in (68.5%) 109 patients. Liver enzymes were elevated in (80.5%) 128 patients. MODS (in 39 patients, 24.5%), Hypotension (40 patients, 25.16%), ARDS (8 patients, 5%), A.K.I. (6 patients, 3.7%), were some of the important complications. 2 patient sucumbed to death. All were treated with doxycyclin or azithromycin. Conclusion: There is a definite need to increase awareness among people as well as primary physicians and have high index of suspicion, especially in the light of increasing number of patients presenting with atypical manifestations.