PEDIATRICS Vol. 89 No. 5 May 1992, pp. 965-968
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Neonatal Scrub Typhus: A Case Report

CHIH-LU WANG MD1, KUENDER D. YANG MD, DMS1, SHIN-NAN CHENG MD1, and MONG-LING CHU MD1

1 Department of Pediatrics, Tri-Service General Hospital, National Defense Medical Center, 622 Ting Chow Road, Taipei, Taiwan, Republic of China

Scrub typhus called tsutsugamushi disease, is a mite-born acute febrile disease caused by Rickettsia tsutsugamushi. To our knowledge, neonatal scrub typhus has not been reported in the literature. We report on a 26-day-old newborn with aseptic meningitis. The newborn showed an increased specific 1gM antibody to R.tsutsugamushi conjointly with his mother's 1gM titer to the organism. This is the first case in the literature documenting neonatal scrub typhus and may be related to infection in the mother.

CASE REPORT

A 26-day-old male newborn was well until 4 days prior to this admission. He suffered from intermittent high fever, abdominal distention, and skin pallor.

Submitted on June 24, 1991
Accepted on September 3, 1991




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