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Abstract
CONCURRENT INFECTION OF DENGUE CHIKUNGUNYA AND SCRUB TYPHUS IN JHARKHAND, INDIA
Dr. Amar Verma*, Dr. Antony Kisku and Dr. Vishwajeet Pratap
ABSTRACT
It is very unlikely to have multiple concurrent infection such as malaria, dengue, chikungunya and other vector borne disease. Articles reporting concurrent infection of dengue chikungunya and scrub typhus are very few. Our series encompasses 5 proven case of dengue, chikungunya with scrub typhus admitted from November to December 2019 in department of paediatrics, RIMS, Ranchi. This is an observational study. The mean age of presentation is 11 yrs. Most common presenting complains were fever, headache, vomiting, pain abdomen, rashes. The mean duration of hospital stay was 7 days. Only one death was reported in our case series. Rest four cases were cured with no any patient suffered any sequelae. In case of concurrent infection of dengue, chikungunya and scrub typhus vigilant monitoring of vitals platelet transfusion and timely treatment with doxycycline are necessary. High degree of suspicion has to be made for coinfection in patient presenting with febrile illness with thrombocytopenia and deranged lab parameter in post monsoon season in endemic areas.
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