Nepal reports scrub typhus cases
Pun states that this is the first case to appear in Kathmandu with no travel history associated with infection. Cases of this illness have been reported in other districts within Nepal. These cases prompted the World Health Organization (WHO) and the Epidemiology and Disease Control Division (EDCD) to engage in joint surveillance of these areas. Currently Kathmandu is not under this surveillance, but Pun reports that the risk for an outbreak is high due to the possibilities of an unreported case being treated in private clinics or hospitals outside of governmental jurisdiction.
The case in the city presented itself on Oct. 14 when a patient at Sukraraj reported fever, a dry cough, body aches and joint pain, sore throat and rashes over their abdomen. Pun states that the patient was confirmed to be positive with scrub typhus on Oct. 18. It is reported that the patient’s condition improved by a significant amount after 48 hours of treatment with doxycycline.
An earlier report from Pun states that there had been 75 cases of the disease as of Oct. 5 and has reported that at least eight of these cases resulted in fatalities.