@misc{cogprints9721, volume = {12}, number = {4(14)}, month = {February}, author = {B Lal and RS Minhas and DR Sharma and S Kumar}, editor = {Dr Srinivas Kakkilaya}, title = {Scrub Typhus Presenting as Acute Mastoiditis.}, publisher = {Kakkilaya BS}, year = {2014}, journal = {Online Journal of Health and Allied Sciences}, keywords = {Ear disease; Rickettsial disease; Himachal Pradesh}, url = {http://cogprints.org/9721/}, abstract = {Scrub typhus, a zoonosis, is known to present with varied clinical presentation. We present a case of acute mastoiditis who did not respond to conventional antibiotic therapy. The detailed repeat clinical examination revealed lymphadenopathy with eschar and IgM antibodies for scrub typhus by ELISA were positive. Patient had dramatic response to doxycycline therapy.} }