Scrub Typhus Complicated by Pneumonia and Acute Kidney Injury: Still an Underecognized Scenario in West Bengal

Abstract

Scrub typhus is an emerging and remerging disease in India and increasingly important cause of acute febrile illness. It is usually complicated by various organ dysfunctions, and is diagnosed by serology. We are reporting a case of 34 years old man resident of West Bengal presented to us with complaints of fever for 7 days with features of pneumonitis and Acute Kidney Injury (AKI). He received doxycyline after positive serology of IgM Scrub typhus, and responded very well. In tropical region any short duration fever with pneumonia, AKI with leukocytosis scrub typhus should be kept in differential as it is a fairly treatable and significantly under diagnosed condition.