| CASE REPORT |
|
| Year : 2023 | Volume
: 16
| Issue : 4 | Page : 187-189 |
|
|
Myositis and rhabdomyolysis in scrub typhus infection: A case report
Tukaram Bolla1, Sushmita Bhattarai1, Harpreet Singh1, Vikas Suri1, Ashish Bhalla1, Debajyoti Chatterjee2
1 Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India
2 Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012, India
Correspondence Address:
Harpreet Singh
Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, 160012
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/1995-7645.374357
|
|
|
Rationale: Fever with myositis and rhabdomyolysis is a medical emergency requiring prompt diagnosis and management. Scrub typhus associated myositis with rhabdomyolysis is rare.
Patient concerns: A 36-year-old female presented with intermittent fever up to 38.6 °C, jaundice and progressive weakness of all four limbs.
Diagnosis: Scrub typhus associated myositis and rhabdomyolysis.
Intervention: Doxycycline 100 mg twice daily and injection of ceftriaxone 1 gm twice daily along with continuous intravenous fluids.
Outcome: Fever resolved with normalization of liver function and recovery of muscle power.
Lessons: Presence of myositis and rhabdomyolysis is uncommon in scrub typhus; high clinical suspicion should be kept in patients with atypical manifestations of scrub typhus.
|
|
|
|
| [FULL TEXT] [PDF]* |
|
 |
|
