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26th August, 2017
 IMA Guidelines for Scrub Typhus Encephalitis

Prof Dr Binay Karak, Prof Dr Bhupendra Chaudhary & Dr KK Aggarwal
 
Scrub typhus encephalitis is a mite- borne infectious disease caused by Orientia tsutsugamushi bacteria and transmitted by bite of larval mites (chiggers) is a re-emerging infection with significant morbidity and mortality, limited to region known as 'tsutsugamushi triangle' of south and south-east Asia.
 
Clinical features: Non-specific and includes high grade fever, severe headache, diffuse myalgia, gastrointestinal (vomiting and loose motions) and respiratory tract symptoms (cough and breathlessness), maculopapular rash and lymphadenopathy - all mimicking viral infectious disease. Later altered sensorium, delirium, confusion and seizure develop leading to aseptic meningitis to frank meningoencephalitis. It can cause multiorgan failure.
 
Scrub typhus lasts for 14 to 21 days without treatment. Death may occur as a result of these complications, usually late in the second week of the illness.
 
Rash: Approximately one-half of all patients develop a characteristically nonpruritic, macular or maculopapular rash. The rash typically begins on the abdomen and spreads to the extremities. The face is also often involved.
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Bad posture leading to increased spinal problems in Indian youth
Prolonged sitting and standing can put a lot of pressure on joints and muscles
 
New Delhi, 25 August 2017: Recent statistics indicate that every fifth Indian in the age group of 20 to 30 suffers from different kinds of spinal ailments. What is alarming is that the incidence has increased by 60% in the Indian youth. As per IMA, wrong posture and other lifestyle issues are responsible for an increase in spinal problems in youngsters, which until a decade ago were only common among senior citizens.
 
Postural dysfunction or "poor" posture is one where the spine is positioned in unnatural positions. The curves are emphasized which puts stress on the joints, muscles, and vertebrae.
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