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Indian Journal of Maternal-Fetal & Neonatal Medicine 5(2):p 201-203, Jul-Dec 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.5218.12
Case Report
Case Report - A Non Healing Ulcer Presenting as Manifestation of Rickettsial Fever with Big Eschar
Khyati Dedhia, Resident, Chirantan Hospital, Dhule, Maharashtra 424002, India. , Sanjay Joshi1 , Khyati Dedhia2 , Yogesh Salunke3
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Indian Journal of Maternal-Fetal & Neonatal Medicine 5(2):p 201-203, Jul-Dec 2018. | DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.5218.12
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Abstract
Rickettsia are a rather diverse collection of organisms with several differences; this prohibits their description as a single homogenous group. The rickettsial diseases were believed to have disappeared from India are reemerging and they are reported from Maharashtra, Tamil nadu, Karnataka, Kerala, Jammu and Kashmir, Uttaranchal, Himachal Pradesh, Rajasthan, Assam and West Bengal. In view of low index of suspicion, nonspecific signs and symptoms, and absence of widely available sensitive and specific diagnosic test, these infections are notoriously difficult to diagnose. Knowledge of geographical distribution, evidence of exposure to vector, clinical features like fever, rash, eschar, headache and myalgia alongwith high index of suspicion are crucial factors for early diagnosis. We hereby report a patient who came to the PICU of our hospital
Keywords: Rickettsia; Eschar; Weil-Felix Test; Antimicrobials.
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DOI: DOI: http://dx.doi.org/10.21088/ijmfnm.2347.999X.5218.12
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