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...

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Published inAsian Pacific journal of tropical medicine Vol. 16; no. 4; pp. 187 - 189
Main Authors Bolla, Tukaram, Bhattarai, Sushmita, Singh, Harpreet, Suri, Vikas, Bhalla, Ashish, Chatterjee, Debajyoti
Format Journal Article
LanguageEnglish
Published Wolters Kluwer India Pvt. Ltd 01.04.2023
Wolters Kluwer Medknow Publications
Subjects
scrub typhus; myositis; rhabdomyolysis; doxycycline; transaminitis; vasculitis
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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:1995-7645
2352-4146
2352-4146
DOI:10.4103/1995-7645.374357