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Indian Pediatrics

, Volume 55, Issue 1, pp 35–37 | Cite as

Comparison of Scrub Typhus Meningitis with Acute Bacterial Meningitis and Tuberculous Meningitis

  • Svas Raju Kakarlapudi
  • Anila Chacko
  • Prasanna Samuel
  • Valsan Philip Verghese
  • Winsley Rose
Open Access
Research Paper
  • 85 Downloads

Abstract

Objective

To compare scrub typhus meningitis with bacterial and tuberculous meningitis.

Methods

Children aged<15 years admitted with meningitis were screened and those who fit criteria for diagnosis of scrub typhus meningitis (n=48), bacterial meningitis (n=44) and tuberculous meningitis (n=31) were included for analysis. Clinical features, investigations and outcomes were compared between the three types of meningitis.

Results

Mean age, duration of fever at presentation, presence of headache and, altered sensorium and presence of hepatomegaly/splenomegaly were statistically significantly different between the groups. Scrub typhus had statistically significant thrombocytopenia, shorter hospital stay and a better neurological and mortality outcome.

Conclusions

Sub-acute presentation of meningitis in older age group children, and good outcome is associated with scrub typhus when compared to bacterial and tuberculous meningitis.

Keywords

Encephalopathy Outcome Presentation Rickettsial infections 

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Copyright information

© Indian Academy of Pediatrics 2018

Authors and Affiliations

  • Svas Raju Kakarlapudi
    • 1
  • Anila Chacko
    • 1
  • Prasanna Samuel
    • 2
  • Valsan Philip Verghese
    • 1
  • Winsley Rose
    • 1
  1. 1.Department of PaediatricsChristian Medical CollegeVelloreIndia
  2. 2.Department of BiostatisticsChristian Medical CollegeVelloreIndia

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