The team of doctors at Neotia Getwel Multispecialty Hospital saved a 31-year-old male patients life, diagnosed with scrub typhus and suffering from Acute Respiratory Distress Syndrome (ARDS) due to extreme damage of both the lungs. Scrub typhus is a zoonotic disease and is the commonest among all Rickettsial Infections in tropical areas and is a mite born infection. Scrub Typhus is considered as an endemic disease commonly prevalent in hills and jungles of tropical countries and is also widespread in this eastern part of the country.
The patient a 31 year young man from Geyzing, Sikkim got admitted at Neotia Getwel Multispecialty Hospital ICU through emergency on 26 Oct 2019 with complain of high fever & cough for 10 days and rapidly increasing shortness of breath lasting for 5 days. When the patient came to the emergency department, he was disoriented and gasping profoundly with extremely low oxygen level in blood. Patients blood pressure was also low requiring medicine in high dosage to keep it up . On admission he was put on artificial ventilation and was initially examined by Dr. Asif hussain & Dr. Kalyan lahiri, Senior Consultants of Internal medicine Department, Neotia Getwel Multispecialty Hospital followed by examination by in charge & critical care consultant Dr. Ayan Bannerjee.
Dr. Ayan Bannerjee, critical care associate in charge of Neotia Getwel Multispecialty Hospital Said “He was extremely critical as even with ventilator his carbon dioxide level in blood was high and oxygen level was very low. After discussion with relatives we made the patient in completely head down position and ventilation was being given .This condition is known as Acute Respiratory Distress Syndrome (ARDS) where both lungs are extremely damaged due to some infection or any other causes, causing extremely low oxygen level in the body. Usually this part of the country with similar bad lungs (ARDS) we think about scrub typhus or dengue or any acute viral pneumonia including swine flu (H1N1). Every possible diagnosis was explored and covered with antimicrobials. He was diagnosed positive scrub typhus which usually presents with fever, and sometimes rashes in body and if left untreated or provided delayed treatment this disease can lead to multi- organ failure and even death.
He further added “His predicted mortality at ICU was approximately 60 % as on the next day of admission the patient showed signs of recovery and promising outcome in clinical parameters and started responding to antibiotics “.
The patient recovered very well & came out of ventilator on 29.10.19 the patient got discharged on 6.11.19 and he was clinically stable during discharge and is about to resume normal life within a few days .This case is a perfect example what a modern critical care unit can do by saving lives from clutch of certain death.
With cutting edge ICU Infrastructure & facilities and team of specialized critical care experts, multidisciplinary super specialist’s Neotia Getwel Multispecialty Hospital is always committed to provide the best of critical care services and ensures that even the most complicated situations are easily tackled with care that’s really intensive. Further the presence of dedicated Quality Control team, infection Control Team, Spacious state –of – the art ICU, isolation wards & air filtration ensures seamless & infection-free recovery of the patients.We are also about to start CRRT facility soon , which is a special type of dialysis which filter toxin from patients body who are extremely critical and suffering from renal failure.