Clinical profile and determinants of scrub typhus presenting with sepsis based on Sepsis-3 criteria.

Background & Objectives: Scrub typhus has a wide spectrum of clinical presentations from acute febrile illness to sepsis with multi-organ failure with poor prognosis. The aim was to study the clinical presentation of scrub typhus and application of SOFA and qSOFA scores of sepsis-3 criteria to determine sepsis and consequent in-hospital outcomes.

Methods: A prospective study was carried out in adults (≥18 years), with scrub typhus diagnosed by IgM ELISA.

A Rare Case of Pulmonary Lymphangitic Carcinomatosis in a Young Adult with Carcinoma Stomach.

Pulmonary Lymphangitic Carcinomatosis (PLC) occurs in about 6-8% of patients with lung metastasis and may rarely develop in the course of gastric cancer representing a complication due to diffuse metastasis in the lymphatics of the lungs. A 29-year-old female, admitted with difficulty in breathing and productive cough for one week, was initially evaluated for respiratory tract infection. During evaluation of associated anaemia an upper gastrointestinal endoscopy showed large ulcerative growth in the lesser curvature of the stomach suggestive of carcinoma.