Scrub Typhus in A Tertiary Care Hospital in Lower Assam

Scrub typhus is a zoonotic disease caused by the rickettsial organism Orientia Tsutsugamushi. It is one of the most underdiagnosed and under reported febrile illness world wide. It is one of the main differential diagnosis for acute febrile illness. Methodology - Hospital based observational study carried out over a period of 6 months (January 2022 – June 2022). Results - Among the 80 seropositive patients, 35 patients were male and 45 patients were female, 17.5 % patients were agriculture worker by occupation. Most common symptoms were fever, nausea, vomiting, headache, myalgia, cough, pain abdomen and puffiness of face. he organ system dysfunction, renal failure is the most common followed by hepatitis, CNS dysfunction and ARDS. Out of 80 patients 22 patients required ICU admission and 12 patients were dead. Mortality rate was 22%. Conclusion - Scrub typhus is a severe acute febrile sickness that has a high death rate. Serious life-threatening consequences of this illness include respiratory dysfunction, shock, and abrupt renal failure. To avoid complications that might be fatal, prompt diagnosis, prompt antibiotic medication, and thorough supportive care are essential.