28/01/2026
A young man was admitted to Chandipur Multi-speciality Hospital with fever, severe body ache, and repeated vomiting. āĻāĻĒāϏāϰā§āĻāĻā§āϞ⧠āĻĒā§āϰāĻĨāĻŽā§ dengue āĻŦāĻž malaria-āϰ āĻŽāϤ⧠āϏāĻžāϧāĻžāϰāĻŖ viral illness āĻŦāϞ⧠āĻŽāύ⧠āĻšāĻā§āĻāĻŋāϞāĨ¤ āϰā§āĻā§āĻā§ āĻāĻŋāĻāĻŋā§āϏāĻž āĻāϰā§āύ Dr Atanu Chandra -āϰ āύā§āϤā§āϤā§āĻŦā§ medical teamāĨ¤
Careful clinical examination-āĻāϰ āϏāĻŽā§ doctors āϰā§āĻā§āϰ āĻļāϰā§āϰ⧠āĻāĻāĻāĻŋ āĻā§āĻ āĻāĻžāϞ⧠scab-āĻāϰ āĻŽāϤ⧠āĻĻāĻžāĻ (eschar) āϞāĻā§āώā§āϝ āĻāϰā§āύāĨ¤ āĻāĻ āĻā§āĻ, painless lesion-āĻāĻžāĻ āĻļā§āώ āĻĒāϰā§āϝāύā§āϤ diagnosis-āĻāϰ key clue āĻšā§ā§ āĻāĻ ā§āĨ¤
āϰā§āĻā§āĻāĻŋ āĻāϏāϞ⧠āĻāĻā§āϰāĻžāύā§āϤ āĻāĻŋāϞā§āύ Scrub Typhus-āĻ â āĻāĻāĻŋ āĻāĻāĻāĻŋ infection, āϝāĻž āĻā§āĻŦ āĻā§āĻ mite (chigger)-āĻāϰ āĻāĻžāĻŽā§ā§ āĻā§āĻžā§, āĻŦāĻŋāĻļā§āώ āĻāϰ⧠rural āĻ grassy areas-āĻāĨ¤ āĻ
āύā§āĻ āĻā§āώā§āϤā§āϰā§āĻ āĻŽāĻžāύā§āώ āĻŦā§āĻāϤā§āĻ āĻĒāĻžāϰā§āύ āύāĻž āϝ⧠āϤāĻžāĻĻā§āϰ āĻāĻžāĻŽā§ā§āĻā§āĨ¤
Scrub typhus-āĻāϰ āϏāĻžāϧāĻžāϰāĻŖ āϞāĻā§āώāĻŖ āĻšāϞ⧠fever, headache, body pain, nausea āĻ vomitingāĨ¤ āĻāĻĒāϏāϰā§āĻāĻā§āϞ⧠āĻā§āĻŦ common āĻšāĻā§āĻžā§ āϰā§āĻāĻāĻŋ āĻ
āύā§āĻ āϏāĻŽā§āĻ missed diagnosis āĻšā§ā§ āϝāĻžā§āĨ¤ Eschar-āĻāĻŋ āϏāĻžāϧāĻžāϰāĻŖāϤ abdomen, groin, armpit āĻŦāĻž back-āĻāϰ āĻŽāϤ⧠āĻāĻžā§āĻāĻžā§ āϞā§āĻāĻŋā§ā§ āĻĨāĻžāĻā§, āϤāĻžāĻ āϏāĻšāĻā§āĻ āĻā§āĻ āĻā§āĻŋā§ā§ āϝāĻžā§āĨ¤
Correct diagnosis āĻšāĻā§āĻžāϰ āĻĒāϰ āϰā§āĻā§āĻā§ appropriate treatment āĻļā§āϰ⧠āĻāϰāĻž āĻšā§ āĻāĻŦāĻ āϤāĻŋāύāĻŋ āĻā§āĻŦ āĻĻā§āϰā§āϤ āϏā§āϏā§āĻĨ āĻšā§ā§ āĻāĻ ā§āύâāĻŽāĻžāϤā§āϰ āĻĻā§āĻ āĻĻāĻŋāύā§āϰ āĻŽāϧā§āϝā§āĻ fever āϏāĻŽā§āĻĒā§āϰā§āĻŖāĻāĻžāĻŦā§ āĻāĻŽā§ āϝāĻžā§āĨ¤
āĻāĻ real-life clinical case-āĻāĻŋ āϏāĻŽā§āĻĒā§āϰāϤāĻŋ āĻĒā§āϰāĻāĻžāĻļāĻŋāϤ āĻšā§ā§āĻā§ āĻāĻāĻāĻŋ āĻ
āϤā§āϝāύā§āϤ āϏāĻŽā§āĻŽāĻžāύāĻāύāĻ international medical journal-āĻ â
QJM (Oxford University Press): Journal of the Association of Physicians of Great Britain and IrelandāĨ¤
https://doi.org/10.1093/qjmed/hcag008
đ āϝāĻĻāĻŋ āĻāĻĒāύāĻžāϰ āĻŦāĻž āĻāĻĒāύāĻžāϰ āĻĒāϰāĻŋāĻŦāĻžāϰā§āϰ āĻāĻžāϰāĻ persistent fever āĻ body ache āĻĨāĻžāĻā§, āĻŦāĻŋāĻļā§āώ āĻāϰ⧠outdoor exposure āĻŦāĻž travel-āĻāϰ āĻĒāϰ, āϤāĻžāĻšāϞ⧠āĻāĻā§ āĻāĻāύāĻāĻ āĻ
āĻŦāĻšā§āϞāĻž āĻāϰāĻŦā§āύ āύāĻžāĨ¤
āĻāĻāĻāĻŋ thorough medical check-up āϏāĻŽā§āĻŽāϤ⧠diagnosis āĻ āĻā§āĻŦāύāϰāĻā§āώāĻžā§ āĻā§āϰā§āϤā§āĻŦāĻĒā§āϰā§āĻŖ āĻā§āĻŽāĻŋāĻāĻž āύāĻŋāϤ⧠āĻĒāĻžāϰā§āĨ¤
Awareness saves lives. đ