Journal Article

Rickettsial meningoencephalitis in a child—A case report

Nitin V. Tikare, Praveen R. Shahapur, Laxman H. Bidari and Basappa G. Mantur

in Journal of Tropical Pediatrics

Volume 56, issue 3, pages 198-200
Published in print June 2010 | ISSN: 0142-6338
Published online August 2009 | e-ISSN: 1465-3664 | DOI: http://dx.doi.org/10.1093/tropej/fmp065
Rickettsial meningoencephalitis in a child—A case report

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Severe central nervous system involvement has been reported in adults with Rickettsia conorii infection but rarely in children. We report here a serologically documented case of meningoencephalitis in a child caused by spotted group R. conorii. Rickettsial infection is a relatively under-diagnosed entity in children with fever and rash, probably due to low index of suspicion and the lack of definitive diagnostic facilities. Rickettsial infections can be treated effectively with anti-microbials; if they remain undiagnosed and untreated, they are associated with significant morbidity and mortality. This differential diagnosis should be considered when a child is seen with fever and rash.

Keywords: Rickettsioses; Meningitis; Rickettsia conorii; Indian Tick Typhus; Tick

Journal Article.  1728 words. 

Subjects: Paediatrics

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