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Outbreak Report – Scrub Typhus in Sikkim
Situation Report: 08.09.2004
DISEASE/ SYNDROME:
Scrub Typhus
DISTRICT &
STATE: West & South Sikkim, Sikkim
DATE OF ONSET: July 2004
REPORTED BY &
DATE OF REPORTING: State Nodal Officer of NSPCD, Sikkim
LOCATION: Sikkim
Current Situation:
Information was received on 19.08.04 from the pediatrician
and the laboratory in charge regarding cases of febrile illness being
reported to the STNM Hospital, Gangtok in Sikkim. 15 cases had been admitted since 1 month from the
west & south districts with no apparent clustering in time & place.
The patients reported were in the 7-12 years age group and presented with
high fever of 10-12 days duration, cervical lymphadenopathy,
general body ache, pain abdomen and dyspnoea. 3 of
these cases also presented with a papular rash. No
hemorrhagic manifestations were seen. All patients had enlarged liver and
spleen. Involvement of other systems, namely respiratory, renal and CNS was
also seen in some of the cases. Two of these cases brought in the terminal
stage died. Routine microbiological investigations did not yield any
significant results. Patients who were put on higher antibiotics (ceftriaxone & cefotaxime)
in the early phase had a shorter course of the illness, while the ones
reporting late in illness took more time to recover.
Laboratory
Information:
Serum samples were collected from 5 of these cases
(average 10-15th day of fever) and sent to NICD, Delhi for further
analysis. 3 of these samples have tested positive for IgM
antibodies to Scrub typhus while all the samples were negative for IgM to dengue and Leptospira.
CONTACT DETAILS
& LAST UPDATED:
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Name
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Contact
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Last updated
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Dr. Pramilla Giri, State Nodal Officer, NSPCD, Sikkim
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Tefaxl:03592-221822,
Mobile: 09832075175
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8 September 2004
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SOURCE: Government
of Sikkim via Office of the WHO Representative to
India
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