[Health] What is Scrub Typhus ? Signs and Symptoms, Treatment and Prevention

What is Scrub Typhus ?
Scrub typhus, also known as bush typhus, is a disease caused by bacteria called Orientia tsutsugamushi. Scrub typhus is spread to people through bites of infected chiggers (larval mites). The most common symptoms of scrub typhus include fever, headache, body aches, and sometimes rash. Most cases of scrub typhus occur in rural areas of Southeast Asia, Indonesia, China, Japan, India, and
northern Australia. Anyone living in or traveling to areas where scrub typhus is found could get infected.

Signs and Symptoms

Symptoms of scrub typhus usually begin within 10 days of being bitten. Signs and symptoms may include:
 Fever and chills
 Headache
 Body aches and muscle pain
 A dark, scab-like region at the site of the chigger bite (also known as eschar)
 Mental changes, ranging from confusion to coma
 Enlarged lymph nodes
 Rash

Indian Scenario
In India, scrub typhus has been reported from Rajasthan, Jammu & Kashmir and Vellore. In addition, few cases have been tested positive for IgM antibodies for scrub typhus from Sikkim, Darjeeling, Nagaland & Manipur (unpublished data). In a study conducted from July through October 2004 in Himalayas, among several cases of acute febrile illness of unknown origin, O.tsutsugamushi was identified as causative agent by microimmunofluorescence and PCR. In an entomologic study in Himachal Pradesh, vector species Leptotombidium deliense and Gahrliepia spp. were recorded.

Habitats Favorable for Disease Transmission
Scrub typhus, originally found in scrub jungles, has also been identified in a variety of other habitats, such as sandy beaches, mountain deserts and equatorial rain forests.

Incubation Period: Incubation Period: 1 – 3 weeks
• The symptoms of scrub typhus are similar to symptoms of many other diseases. See your health care provider if you develop the symptoms listed above after spending time in areas where scrub typhus is found.
• If you have recently traveled, tell your health care provider where and when you traveled.
• Your health care provider may order blood tests to look for scrub typhus or other diseases.
• Laboratory testing and reporting of results can take several weeks, so your health care provider may start treatment before results are available.

Treatment
• Scrub typhus should be treated with the antibiotic doxycycline and chloramphemicoil. Doxycycline can be used in persons of any age.
• Antibiotics are most effective if given soon after symptoms begin.

Prevention
• No vaccine is available to prevent scrub typhus.
• Reduce your risk of getting scrub typhus by avoiding contact with infected chiggers.
• When traveling to areas where scrub typhus is common, avoid areas with lots of vegetation and brush where chiggers may be found.

Recommendation: It is Advised:-
1. Patient presenting with above symptoms should visit the PHC/PHSC early for treatment.
2. Delay in treatment leads to complication and death.
3. Drugs like doxycycline, chloramphemicoil are treatement of choice.
4. Testing facility of scrub typhus is available in PHC, District Hospital and STNM Hospital.
5. To keep the surrounding and household area clean.
6. To maintain personal hygiene wash and clean clothing after coming back from forest and work area in village.
7. To avoid drying of clothing on the bushes and scrubs at villages.
8. Do not neglect any kind of insect bite to report at nearest hospital for treatment. Scrub typhus is curable and treatable if reported on time.
9. Since there is no Vaccines available for scrub typhus and causative insect are present in scrubs and bushes best way is to remain alert and take early treatments to avoid scrub typhus.

61 comments:

  1. Khadubhai nt ki cut off btao....

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  2. Can this question be asked in Mains of hpas

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    Replies
    1. Nahi....janhit mey jari kiya vigyapan tha ye...

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    2. news paper me likhna tha to wo bhi hindi mein agar janhit mein hai

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  3. Hold your breath guys..result coming within 1-2 days.

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    Replies
    1. Hw do u know!???

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    2. I have been regularly calling HPPSC in last few days. Earlier they used to tell me that they don't know the date, etc. But since last two-three days they are saying it around 20+-2 consistently. This is just a deduction. No source in HPPSC.

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  4. Probably 20th guys

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  5. Not 20th..... confirmed

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  6. Any update of result
    And
    Cutoff for hpas

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  7. Murkh bnate hai hpas wale...meko pehle bola first September week..fir 10 se pehle..fir 15 se pehle...fir 20 se pehle...ab dekhte hai

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  8. aaj kaal mein aa jana chahiye ..... cutoff exceptionally high (100-105 vale ka muskil hi hai ) as i am told ....

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    1. Yes I am also told cutoff very high hai...above 116....mine 122...finger crossed. ..

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    2. Aap logo ko kisny btaya..about cuttoff..any source...i mean hppsc ko call krky pta chla kya...ya any other source

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  9. Cutoff koi high nahi hai... will be around 100... just wait and watch...

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  10. Guys don't believe on those who are telling you that cutoff will be more than 100.It will not be more than 94-95 If you want to get a general idea then go and check last year detailed pre result(general studies marks). It will be more or less same as it was last year because dificulty level this year's paper was same as it was last year.

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  11. Result on Friday

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    Replies
    1. Who told u?..have u calld them

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    2. Phone aaya tha Chairman Saab ka :)

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    3. Haha..kahi aap topper to ni ho prelims k ....tabhi socha hoga k phone krky he puch lety hai k ye hai kaun

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    4. It was just on lighter note amid result's tension... :)

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    5. ok :) nd hope result will come soon..hppsc wakon ne sbko he tension de rkhi hai..bs ab aa jaey jldi..

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    6. Kahe ki tension bhai....ab toh tension bhi thak gyi...ab toh aisa hai ki bas nikaal do result...clear hota nhi hota...khtm karo syappa...daily hppsc ki site check krte ab toh mann hi sadd jata h....

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  12. I think since new syllabus. ..so they eill declare result late ...and take mains in feb...as was norm before tomar sir....so they not hurry to declare result...

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  13. Plz don't expect the result to be declare Soon as they have just started the process. Aaj Tak chutiye soye hue the... :P

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    1. Its about to complete 3 months and upsc has declared with in 40 days..they should learn from them

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    2. Bhai aise gaali toh mat do. Garima hurt ho jati h :D

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  14. May be aj result aa jae. I called hppsc and he said aj shaam tk aa jaega 100%... lets see..

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  15. What's cutoff guys

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  16. result has been declared on hppsc website. see your result.

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  17. M in was getting 82.67 in obc category according to officail keys.

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    Replies
    1. Obc ...was getting 85 not in....

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    2. Sir there were around four questions which were according to me were right(checked on internet and on standard books) but in official key they were wrong.I was 100% sure that they were right. hppsc may have revised its key and my question may have got right. Thats why i think i am in with 82.67 marks.

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  18. Replies
    1. Apne bhi 95-96 the...not in...disappointed :(

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  19. when they will publish cutoff and marks
    ?

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  20. This comment has been removed by the author.

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  21. HPAS RESULT DECLARED AT 1430 HOURS ... ON SEP 20TH 2017
    for reference check HPPSC site

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    1. 645 candidates cleared in all

      http://www.hppsc.hp.gov.in/hppsc/file.axd?file=2017%2f9%2fPress+Note-HPAS+%28Prlm%29+Examination-2016+Result+Declared.pdf

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  22. This comment has been removed by the author.

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  23. yes ...result is out....i am in....

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  24. Cutoff 98-101 k beech hi hai mtlb...

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  25. Ye mains kab h bhai logon??

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  26. mine was 99.67 in General category....OUT

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  27. Mains exam kab hoga??

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  28. Congrats Abhi pls tell what is ur score in NT so that I can guess cut off as I have 62 in OBC cat.Humble request

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    Replies
    1. Bhai u r definitely in because i hav scored only 63 😥

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  29. Thanks Abhi Thakur n best of luck for HPAS mains

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    Replies
    1. Thanks bhai and my wishes to u for NT mains

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