Myositis and rhabdomyolysis in scrub typhus infection: A case report

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...

Full description

Bibliographic Details
Published in:Asian Pacific Journal of Tropical Medicine
Main Authors: Tukaram Bolla, Sushmita Bhattarai, Harpreet Singh, Vikas Suri, Ashish Bhalla, Debajyoti Chatterjee
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Subjects:
scrub typhus; myositis; rhabdomyolysis; doxycycline; transaminitis; vasculitis
Online Access:http://www.apjtm.org/article.asp?issn=1995-7645;year=2023;volume=16;issue=4;spage=187;epage=189;aulast=Bolla
Description
Summary: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.
ISSN:2352-4146

Similar Items