creators_name: Lal, B creators_name: Minhas, RS creators_name: Sharma, DR creators_name: Kumar, S creators_id: drbushaditya@yahoo.co.in editors_name: Kakkilaya, Srinivas editors_id: Kakkilaya BS type: journale datestamp: 2015-02-21 14:36:23 lastmod: 2015-04-20 11:43:06 metadata_visibility: show title: Scrub Typhus Presenting as Acute Mastoiditis. ispublished: pub subjects: OJHAS full_text_status: public keywords: Ear disease; Rickettsial disease; Himachal Pradesh 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. date: 2014-02-20 date_type: published publication: Online Journal of Health and Allied Sciences volume: 12 number: 4(14) publisher: Kakkilaya BS refereed: TRUE referencetext: 1. Watt. 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. 2. Mahajan SK, Rolain JM, Kashyap R et al. Scrub typhus in Himalayas. Emerg Infect Dis 2006:12(10);1590159-2. 3. Devine 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. 4. Mahajan SK, Bakshi D. Acute reversible hearing loss in scrub typhus. J Assoc Physic. India. 2007;55:512-513. 5. Sexton DJ. Acute hearing loss in rickettsial diseases.Clin Infect Dis. 2006;42:1506 6. Coleman 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. citation: Lal, B and Minhas, RS and Sharma, DR and Kumar, S (2014) Scrub Typhus Presenting as Acute Mastoiditis. [Journal (On-line/Unpaginated)] document_url: http://cogprints.org/9721/1/2013-4-14.pdf