Tropical rat mite also causes Scrub Typhus
|Source: The Hitavada date: August 28, 2018 10:03:01|
Scrub Typhus test only performed at veterinary school
50% Scrub Typhus patients discharged at GMCH
The investigation of the Veterinary Public Health department has shown that scrubtyfus is not only caused by the fleas found on the grass, but also by the tropical rat mite. The test for confirmation of this disease is only done at the Veterinary College of Nagpur. The first case was reported in Indira Gandhi Government Medical College and Hospital (IGGMCH) in 2012, but that also did not bring the Health Department out of deep sleep. So far no test center has been developed by the department.
Dr. Sandip Chaudhary, associate professor in the veterinary public health department, Nagpur Veterinary College is responsible for Center for Zoonosis. He was a principal investigator and conducted research that was published in International Journal. The research was under the Indian Medical Research Council (ICMR). He and his team discovered that scrubtyfus is also caused by tropical rat mites. Until now, the general perception and the fact that scrubtyfus is transmitted by bites of infected larval stage thrombiculide mites called Chiggers, which can be found in the forest, urban bushes and grass during the wet season. But new research has added a new information. The scrubtyfus was first diagnosed by Dr. P P Joshi, head, department of Indira Gandhi Government Medical College and Hospital (IGGMCH) in 2012. A woman came with a complaint about bodyache, cough, cold and fever.
Her samples were found negative in all blood tests. During an ECG, a black cigarette-like stain was noticed under her breast and her blood samples were sent to the National Center for Disease Control in Delhi and confirmed that the woman was suffering from scrubtyphus. Dr. Joshi said: "The symptoms of scrubtyphus are also found in other diseases, it is difficult to diagnose it, and in 2012 we could identify because of the spot, but most patients do not have these spots either."
Unfortunately there is no possibility to test scrubtyfus, except Center for Zoonosis at the Nagpur Veterinary College. It is the only laboratory that performs the Polymerase Chain Reaction (PCR) test to confirm scrubtyfus. Doctors have advised people not to get panic because the disease has become neither epidemic nor endemic. It is in a sporadic category.
This year, 5 deaths from scrubtyphus were registered in 18 patients who tested positive in Government Medical College and Hospital (GMCH). IGGMCH also had 5 patients and they are all now discharged. Also in GMCH Dean Dr Abhimanyu Niswade and Dr Yogendra Bansod, HOD, Medicine took measures to cure 50 percent of patients. Others are also on the verge of dismissal.
Because he felt the seriousness of it, Deputy Public Health Director Dr. Sanjay Jaiswal called a meeting at GMCH and appealed to everyone that the only medicines Azythromycin, Doxycycline are available for free from the public health department. Patients can collect the medicines. Dr. Jaiswal urged people not to get panic because the disease was under control.