J Pediatr Infect Dis 2018; 13(03): 234-235
DOI: 10.1055/s-0037-1602262
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Multiple Eschars on Lip in Scrub Typhus

Soumya Roy
1  Department of Paediatrics, Institute of Child Health, Kolkata, West Bengal, India
,
Subroto Chakrabartty
1  Department of Paediatrics, Institute of Child Health, Kolkata, West Bengal, India
,
Sumit Datta Majumdar
1  Department of Paediatrics, Institute of Child Health, Kolkata, West Bengal, India
,
Swati Chakravarti
1  Department of Paediatrics, Institute of Child Health, Kolkata, West Bengal, India
,
Santanu Barman
1  Department of Paediatrics, Institute of Child Health, Kolkata, West Bengal, India
› Author Affiliations
Further Information

Publication History

12 January 2017

12 March 2017

Publication Date:
20 April 2017 (eFirst)

Abstract

Scrub typhus is an endemic disease of Asian Pacific region, affecting about 1 million people every year. Although it remarkably recovers with doxycycline, the mortality in untreated cases may be as high as 40 to 45%. Owing to the lack of diagnostic facilities for scrub typhus in most places, it is very important to recognize the clinical features. A typical eschar is pathognomonic of the disease. However, this is very rare to be found on the face, and hence can lead to confusions. We present the case of a boy who presented three eschars on the upper lip and was diagnosed as a case of scrub typhus. He responded dramatically with intravenous doxycycline and the eschars healed spontaneously over the next 2 to 3 weeks.