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Tropical fevers: Management guidelines.
[scrub typhus]
Tropical
fevers
were
defined
as
infections
that
are
prevalent
in
,
or
are
unique
to
tropical
and
subtropical
regions
.
Some
of
these
occur
throughout
the
year
and
some
especially
in
rainy
and
post-rainy
season
.
Concerned
about
high
prevalence
and
morbidity
and
mortality
caused
by
these
infections
,
and
overlapping
clinical
presentations
,
difficulties
in
arriving
at
specific
diagnoses
and
need
for
early
empiric
treatment
,
Indian
Society
of
Critical
Care
Medicine
(
ISCCM
)
constituted
an
expert
committee
to
develop
a
consensus
statement
and
guidelines
for
management
of
these
diseases
in
the
emergency
and
critical
care
.
The
committee
decided
to
focus
on
most
common
infections
on
the
basis
of
available
epidemiologic
data
from
India
and
overall
experience
of
the
group
.
These
included
dengue
hemorrhagic
fever
,
rickettsial
infections
/
scrub
typhus
,
malaria
(
usually
falciparum
)
,
typhoid
,
and
leptospira
bacterial
sepsis
and
common
viral
infections
like
influenza
.
The
committee
recommends
a
'
syndromic
approach
'
to
diagnosis
and
treatment
of
critical
tropical
infections
and
has
identified
five
major
clinical
syndromes
:
undifferentiated
fever
,
fever
with
rash
/
thrombocytopenia
,
fever
with
acute
respiratory
distress
syndrome
(
ARDS
)
,
fever
with
encephalopathy
and
fever
with
multi
organ
dysfunction
syndrome
.
Evidence
based
algorithms
are
presented
to
guide
critical
care
specialists
to
choose
reliable
rapid
diagnostic
modalities
and
early
empiric
therapy
based
on
clinical
syndromes
.
Diseases
Validation
Diseases presenting
"fever"
symptom
22q11.2 deletion syndrome
acute rheumatic fever
alexander disease
allergic bronchopulmonary aspergillosis
canavan disease
carcinoma of the gallbladder
child syndrome
congenital toxoplasmosis
cushing syndrome
cystinuria
dracunculiasis
erdheim-chester disease
esophageal adenocarcinoma
esophageal carcinoma
familial mediterranean fever
focal myositis
hodgkin lymphoma, classical
lamellar ichthyosis
legionellosis
locked-in syndrome
malignant atrophic papulosis
neonatal adrenoleukodystrophy
neuralgic amyotrophy
oculocutaneous albinism
papillon-lefèvre syndrome
pyomyositis
pyruvate dehydrogenase deficiency
scrub typhus
severe combined immunodeficiency
sneddon syndrome
systemic capillary leak syndrome
triple a syndrome
typhoid
waldenström macroglobulinemia
wolf-hirschhorn syndrome
This symptom has already been validated