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  • Title: Splenic infarct with scrub typhus: a rare presentation.
    Author: Goyal MK, Porwal YC, Gogna A, Gulati S.
    Journal: Trop Doct; 2020 Jul; 50(3):234-236. PubMed ID: 31789114.
    Abstract:
    Scrub typhus has a variety of clinical presentations ranging from asymptomatic to fever with chills, myalgias, hepatitis, gastric ulcerations and pancreatitis, all being attributed to disseminated vasculitis, with splenic infarction being a rare presentation. A 26-year man, a resident of north India, presented with an acute febrile illness and abdominal pain, computed tomography scan of the abdomen was suggestive of a splenic infarct. After ruling out other aetiology, a positive IgM (ELISA) for scrub typhus led to treatment with oral doxycycline, following which the patient was discharged symptom-free. Rarely can splenic infarction be attributable to scrub typhus; so far, five such cases have been reported in the published literature.
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