SAT-427 AKI IN TROPICS/PATIENT RETURNING FROM?TROPICS -WHY EXPANDING OUR DIFFERENTIALS IS NEEDED!

摘要

Introduction: CASE REPORT People living in tropics have someendemic risk factors specific to the demographic region they reside in.A variety of causes are prevalent - including Malaria, Dengue Hemor-rhagic Fever, Infectious Diarrhea, Leptospirosis, Snake Envenomation,and Scrub Typhus. We describe a case of Scrub Typhus with AKI. Thisparticular case is interesting as it was from a cosmopolitan city, awayfrom hilly areas where this rickettsial fever is more common. WorldHealth Organisation (WHO) has recently warned about the potential ofScrub Typhus to cause widespread disease in tropics, deviating fromthe natural restriction to hilly areas to occurring in cities or towns.Scrub typhus is an important disease - frequently neglected. Theannual estimate of cases is 1 million, while the population at risk, at 2Billion is even huge, with the Tsutsugamoshi triangle extending fromJapan in the east to Pakistan in the west and China to the north andAustralia to the south.