Distribution of Eschar in Pediatric Scrub Typhus.
J Trop Pediatr
; 62(5): 415-20, 2016 10.
Article
em En
| MEDLINE
| ID: mdl-27122479
ABSTRACT
BACKGROUND:
Identifying an eschar in scrub typhus is useful for initiation of prompt and appropriate antibiotic therapy.METHODS:
The distribution of eschars in all children <15 years of age admitted with confirmed scrub typhus over a 5 year period is described.RESULTS:
Of 431 children admitted with scrub typhus, eschars were present in 176 (40.8%) children with the following distribution head, face and neck, 33 (19.1%); axillae, 37 (21%); chest and abdomen, 21 (11.9%); genitalia, inguinal region and buttocks, 58 (33%); back, 8 (4.5%); upper extremities, 13 (7.4%); and lower extremities, 5 (2.8%). The commonest sites of eschars were scrotum (27 of 106; 25.5%) and axillae (15 of 106; 14.2%) in males and axillae (22 of 70; 31.4%) and groin (16 of 70; 22.9%) in females. Eschars were seen within skin folds in 100 of 176 (56.8%) children.CONCLUSION:
Children should be carefully examined for the presence of eschar especially in the skin folds of the genitalia, axillae and groin to make an early diagnosis of scrub typhus.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Orientia tsutsugamushi
/
Pele
/
Tifo por Ácaros
Tipo de estudo:
Incidence_studies
/
Prognostic_studies
/
Screening_studies
Limite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
País/Região como assunto:
Asia
Idioma:
En
Ano de publicação:
2016
Tipo de documento:
Article