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Year : 2019  |  Volume : 8  |  Issue : 4  |  Page : 272-275

A rare case of rickettsial infection presented as febrile delirium in a 4 years old child from a government hospital, Andhra Pradesh, India

Department of Pediatrics, Kurnool Medical College, Kurnool, Andhra Pradesh, India

Correspondence Address:
Dr. Naresh Gadagani
Department of Pediatrics, Kurnool Medical College, Kurnool, Andhra Pradesh
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Source of Support: None, Conflict of Interest: None


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We report here a documented case of Febrile delirium in a child caused by Rickettsiae. Rickettsial infection is a relatively under-diagnosed entity in children with fever and rash, probably due to low index of suspicion and the lack of definitive diagnostic facilities. Rickettsial infections can be treated effectively with anti-microbials. Developing countries may use Weil Felix test as a diagnostic method, if they remain undiagnosed and untreated, they are associated with significant morbidity and mortality. This differential diagnosis should be considered when a child is seen with fever and rash.

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