Introduction: Rickettsial fever is a significant yet frequently underdiagnosed cause of acute febrile illness in endemic regions of India. Nonspecific clinical features and limited diagnostic facilities often delay diagnosis and increase the risk of complications. Case: A 36-year-old male presented with fever, chills, generalized body aches and burning micturition for one week. Clinical examination revealed tachycardia and suprapubic tenderness. Laboratory investigations showed anaemia, leucocytosis, thrombocytopenia, hypoalbuminemia, and mildly elevated liver enzymes. Serological testing was positive for Weil-Felix (OX19 and OX2), while dengue and blood cultures were negative. Based on clinical and laboratory findings, rickettsial fever was diagnosed. The patient was treated with doxycycline and supportive therapy, leading to marked clinical improvement. Discussion: The nonspecific presentation of rickettsial fever often mimics other febrile illnesses, making early diagnosis challenging. Haematological abnormalities and positive serology were crucial in confirming the diagnosis in this case. Prompt initiation of doxycycline resulted in favourable outcomes. Conclusion: Early recognition and timely treatment of rickettsial fever are essential to reduce morbidity. Increased clinical awareness in endemic areas can improve diagnosis and patient outcomes.
Bheemesh H.1*, Chandana B.2, Dr. Syed Mohammed Hussaini3, (Sun,) studied this question.