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Journal article

Meningitis due to scrub typhus: the importance of a differential diagnosis in an endemic area

Abstract:

A patient with fever and neck stiffness was treated as partially- treated bacterial meningitis based on history, examination and cerebrospinal fluid analysis. After initial improvement with ceftriaxone, vancomyicn and dexamethasone, symptoms recurred. Fever resolved promptly after treatment was started with doxycycline, when scrub typhus IgM test came positive. Meningitis is a well-known complication of scrub typhus. However scrub typhus is seldom considered in the differential diagnosis o...

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Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1136/bcr-2018-224499

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Institution:
University of Oxford
Division:
MSD
Department:
NDM
Sub department:
Tropical Medicine
Role:
Author
Publisher:
BMJ Publishing Group
Journal:
BMJ Case Reports More from this journal
Publication date:
2018-01-01
Acceptance date:
2018-03-10
DOI:
ISSN:
1757-790X
Pubs id:
pubs:845748
UUID:
uuid:92214945-4b31-4129-9d28-e242bc0af80b
Local pid:
pubs:845748
Source identifiers:
845748
Deposit date:
2018-05-03

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