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Journal of Tropical Pediatrics Advance Access published online on August 10, 2009

Journal of Tropical Pediatrics, doi:10.1093/tropej/fmp065
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© The Author [2009]. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Report

Rickettsial meningoencephalitis in a child—A case report

Nitin V. Tikarea, Praveen R. Shahapurb, Laxman H. Bidaria and Basappa G. Manturc

a Department of Pediatrics, Dr. Bidari's Ashwini Institute of Child Health and Research Centre, Bijapur – 586103, Karnataka, India
b Department of Microbiology, Dr. Bidari's Ashwini Institute of Child Health and Research Centre, Bijapur – 586103, Karnataka, India
c Department of Microbiology, Belgaum Institute of Medical Sciences, Belgaum – 590001, Karnataka, India

Correspondence: Nitin V. Tikare, Dr. Bidari's Ashwini Institute of Child Health and Research Centre, BLDE Road, Bijapur – 586 103, Karnataka, India. E-mail: <nitintikare{at}rediffmail.com>.


   Abstract

Severe central nervous system involvement has been reported in adults with Rickettsia conorii infection but rarely in children. We report here a serologically documented case of meningoencephalitis in a child caused by spotted group R. conorii. 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; 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.

Key Words: Rickettsioses • Meningitis • Rickettsia conorii • Indian Tick Typhus • Tick


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