Reversible pancytopenia - Rare manifestation of scrub typhus

Dr. Bheru Lal Jatiya; Dr. C.P. Meena; Dr Sushil Kumar; Dr. Ravindra Singh; Dr. Rakesh Meena

Volume : VIII, Issue : VI, June - 2019

Reversible pancytopenia - Rare manifestation of scrub typhus

Dr. Bheru Lal Jatiya, Dr. C. P. Meena, Dr Sushil Kumar, Dr. Ravindra Singh, Dr. Rakesh Meena

Abstract :

Scrub typhus or tsu–tsugamushi disease is a feile illness cause by bacteria of family Rickettsiaceae name orientia tsutsugamushi. Severe complication such as acute respiratory distress syndrome (ARDS), acute hepatic failure, menincoencephalitis and myocarditis may manifest. Anemia is frequently found in scrub typhus but pancytopenia is uncommon. We are presenting 3 cases of reversible pancytopenia in one male patient and two female patient whom pancytopenia improve after institution of oral doxycycline therapy . All 3 patient diagnosed by ELISA scrub typhus serology.