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- Title
Scrub typhus in pregnancy: A report of two cases.
- Authors
Selvan, Advika Thamarai; Agarwal, Ishita; Behera, Bijayini; Singh, Sweta
- Abstract
Scrub typhus shows a high prevalence in South-East Asia. In pregnant females, it can cause both maternal and fetal adverse outcomes. We report a case series of two women with scrub typhus and their varied outcomes. A 25-year-old primigravida treated for scrub typhus at 23 weeks' gestation presented at 34 weeks with stage three fetal growth restriction (FGR). Caesarean delivery was performed. The neonate had biliary atresia. A 24-year-old primigravida at 31 weeks' gestation was referred from a local hospital due to scrub typhus induced multi-organ dysfunction. She had FGR stage 1 with oligohydramnios. Emergency caesarean delivery was performed in view of acute fetal bradycardia. There is an emerging need for research to reassess what is already known about scrub typhus in pregnancy and to develop techniques for its treatment inorder to achieve a positive maternal and neonatal outcome in these cases.
- Subjects
ASIA; FETAL growth retardation -- Risk factors; CESAREAN section; AZITHROMYCIN; ENZYME-linked immunosorbent assay; FEVER; TREATMENT effectiveness; EMERGENCY medical services; VERTICAL transmission (Communicable diseases); DOSAGE forms of drugs; GRAM-negative bacterial diseases; GENETIC techniques; DISEASE complications; PREGNANCY
- Publication
Obstetric Medicine (1753-495X), 2024, Vol 17, Issue 1, p58
- ISSN
1753-495X
- Publication type
Article
- DOI
10.1177/1753495X221122593