ArticleOman medical journal2023
Dengue and Scrub Typhus Coinfection: A Diagnostic Dilemma.
Article in Oman medical journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Acute Febrile Illness With Triple Co-Infection: A Case Report on the Diagnostic Challenges of Overlapping Febrile Illnesses.Clinical case reports · 2026Article
- Dengue and Scrub Typhus Co-infection at a Tertiary Care Centre in Nepal: A Case Series in Pediatric Patients.JNMA; journal of the Nepal Medical Association · 2025Article
- Acute Pancreatitis Associated with Scrub Typhus:Sultan Qaboos University medical journal · 2025Review
- Atypical presentation and response to treatment in scrub typhus: a series of 2 cases.Sudanese journal of paediatrics · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Due to overlapping clinical features, scrub typhus infection may be missed in presence of dengue. Concurrent infection with those two pathogens is rare and creates a diagnostic dilemma. We present a case of a 65-year-old male who was admitted with a high-grade fever and maculopapular rash. A complete hemogram revealed thrombocytopenia with raised hematocrit and positive diagnostic tests for dengue. The patient was treated conservatively with intravenous fluids and antipyretic medications in response to which the hematocrit improved, and the rash disappeared. But fever with thrombocytopenia continued to persist. On further clinical examination, a small eschar was noted on his abdomen. Doxycycline was started upon which the fever subsided, and thrombocytopenia improved. This case illustrates the importance of early recognition of coinfection in unremitting febrile illness in tropical countries to prevent potentially dangerous complications.
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