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Acute severe monarthritis: a rare manifestation of scrub typhus
  1. Koushik Handattu1,
  2. Ramesh Bhat Yellanthoor2,
  3. Kalyan Chakravarthy Konda2 and
  4. Sandesh Kini2
  1. 1 Paediatrics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India
  2. 2 Paediatrics, Kasturba Medical College, Manipal, Karnataka, India
  1. Correspondence to Dr Ramesh Bhat Yellanthoor, docrameshbhat{at}


Scrub typhus caused by Orientia tsutsugamushi is an important cause for fever of unknown origin in endemic areas including India. The vasculitis associated with the disease leads to a variety of clinical manifestations. However, the joint involvement is quite rare and not reported in children. We present severe arthritis of hip joint associated with scrub typhus causing a diagnostic and management challenges in a 4-year-old girl.

  • paediatrics
  • infectious diseases

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  • Contributors RBY, KH, KCK and SK were involved in the management of case. KH wrote the manuscript. RBY critically reviewed the manuscript. All authors approved the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.