Coinfection of Leptospirosis with Scrub Typhus: A Case Report

Authors

  • Rayeed Anan Surontee Honorary Medical Officer, Department of Medicine, Dhaka Medical College Hospital
  • Mohammad Mahfuzul Hoque Assistant professor, dept of Medicine, Dhaka Medical College & Hospital(DMCH)
  • Tahsina Tasneem Indoor Medical Officer, Department of Medicine, Dhaka Medical College Hospital
  • Md Fariduzzaman Indoor Medical Officer, Department of Medicine, Dhaka Medical College Hospital
  • Md Mehedi Hasan Honorary Medical Officer, Department of Medicine, Dhaka Medical College Hospital
  • Md Shafiqul Bari Professor, Department of Medicine, Dhaka Medical College Hospital

DOI:

https://doi.org/10.3329/jom.v25i2.74660

Keywords:

Leptospira, Weil’s disease, eschar, Rickettsia

Abstract

Leptospirosis and scrub typhus are common zoontic illnesses in tropical countries. Leptospira, a spirochaete, can cause leptospirosis when a patient comes in contact with contaminated water. Following a period of bacteraemic illness, leptospirosis may progress to a more severe form. Weil’s disease is a severe form of leptospirosis characterised by jaundice, haemorrhage and acute kidney injury. Scrub typhus, a rickettsial disease, common in South-East Asia is caused by Orientia tsutsugamushi occurs due to bite of Trombicula mite. An eschar forms at the site of the bite. Here we present a case of a 60-year-old gentleman, hailing from Savar who was diagnosed as a case of coinfection of scrub typhus and leptospirosis. Patient presented with an eschar, high grade fever and features of Weil’s disease. He didn’t initially respond to Ceftriaxone and then Doxycycline was added after which he became afebrile.

J MEDICINE 2024; 25: 187-190

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Published

2024-07-16

How to Cite

Surontee, R. A. ., Hoque, M. M. ., Tasneem, T. ., Fariduzzaman, M., Hasan, M. M., & Bari, M. S. (2024). Coinfection of Leptospirosis with Scrub Typhus: A Case Report. Journal of Medicine, 25(2), 187–190. https://doi.org/10.3329/jom.v25i2.74660

Issue

Vol. 25 No. 2 (2024)

Section

Case Reports

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