---
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.'
altloc:
  - http://www.ojhas.org/issue48/2013-4-14.html
chapter: ~
commentary: ~
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creators_id:
  - drbushaditya@yahoo.co.in
  - ~
  - ~
  - ~
creators_name:
  - family: Lal
    given: B
    honourific: ''
    lineage: ''
  - family: Minhas
    given: RS
    honourific: ''
    lineage: ''
  - family: Sharma
    given: DR
    honourific: ''
    lineage: ''
  - family: Kumar
    given: S
    honourific: ''
    lineage: ''
date: 2014-02-20
date_type: published
datestamp: 2015-02-21 14:36:23
department: ~
dir: disk0/00/00/97/21
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editors_id:
  - Kakkilaya BS
editors_name:
  - family: Kakkilaya
    given: Srinivas
    honourific: Dr
    lineage: ''
eprint_status: archive
eprintid: 9721
fileinfo: /9721/1.hassmallThumbnailVersion/2013-4-14.pdf;/9721/1/2013-4-14.pdf
full_text_status: public
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keywords: Ear disease; Rickettsial disease; Himachal Pradesh
lastmod: 2015-04-20 11:43:06
latitude: ~
longitude: ~
metadata_visibility: show
note: ~
number: 4(14)
pagerange: ~
pubdom: TRUE
publication: Online Journal of Health and Allied Sciences
publisher: Kakkilaya BS
refereed: TRUE
referencetext: "1.\tWatt. G. Scrub typhus. In Warrel DA, Cox TM, Firth JD et al (Eds). Oxford Textbook of Medicine.  4th Ed. Oxford; Oxford University Press. 2003. pp 629-631.\r\n2.\tMahajan SK, Rolain JM, Kashyap R et al. Scrub typhus in Himalayas. Emerg Infect Dis 2006:12(10);1590159-2.\r\n3.\tDevine J.  A review of scrub typhus management in 2000-2001 and implications for soldiers. Journal of Rural and Remote Environmental Health. 2003;2(1):14-20.\r\n4.\tMahajan SK, Bakshi D.  Acute reversible hearing loss in scrub typhus. J Assoc Physic. India. 2007;55:512-513.\r\n5.\tSexton DJ. Acute hearing loss in rickettsial diseases.Clin Infect Dis. 2006;42:1506\r\n6.\tColeman RE, Sangkasuwan V, Suwanabun  N et al. Comparative evaluation of selected diagnostic assays for the detection of IgG and IgM antibody to Orientiatsutsugamushi in Thailand. Am J Trop Med Hyg2002;67(5):497-503."
relation_type: []
relation_uri: []
reportno: ~
rev_number: 10
series: ~
source: ~
status_changed: 2015-02-21 14:36:23
subjects:
  - OJHAS
succeeds: ~
suggestions: ~
sword_depositor: ~
sword_slug: ~
thesistype: ~
title: Scrub Typhus Presenting as Acute Mastoiditis.
type: journale
userid: 4338
volume: 12
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