Scrub typhus-Detailed symptoms and temperature readings

Day

Day1

Day 2

Day 3

Day 4

Day 5

Day 6

Day 7

Day 8

Day 9

Day 10

Day 11

Day 13

Date

16.09.2019

17.09.2019

18.09.2019

20.09.2019

21.09.2019

22.09.2019

23.09.2019

24.09.2019

25.09.2019

26.09.2019

27.09.2019

29.09.2019

Symptoms

Mild fever at evg

Fever appeared twice in a day despite of  antibiotics being started

Fever appeared twice in a day despite of antibiotics started

Fever appeared twice in a day despite of antibiotics started Blood test being done for NS 1 and typhoid; result negative

Complains of headache on the back side

Complains of headache on the back side, and stomach ache

Complains of headache on the back side, and stomach ache

Complains of headache on the back side, and stomach ache

Complains of headache on the back side, and stomach ache

Tested positive for scrub typhus and dioxcycline injection were started

Tested positive for scrub typhus and dioxcycline injection were started

Discharged from hospital

Child's behaviour

Active

Active

Active

Active

Active

Less Active

Less Active

Confined to bed

Feeling down

Fever went down since the first dosage

Diet

Normal

Normal

Normal

Normal

Reduced , twice vomitted

Reduced, once vomitted

Reduced to half

Reduced to half

Reduced to half

Medication

Augmentiin

Augmentiin

Augmentiin

Augmentiin

ZOCEF

ZOCEF

Monocef post hospitalization

Dioxycycline amd monocef

Dioxycycline amd monocef

Oral dioxycline tablets started for 5 days

Time

Temp

Time

Temp

Time

Temp

Time

Temp

Time

Temp

19:10

99.4

3:10

103.1

1:00

103

5:30

103

3:41

98.6

21:10

102.1

3:15

Paracetamol

5:10

99.5

8:00

98.3

4:00

99.2

7:00

99.1

5:40

100.3

8:45

97.7

5:00

102.3

7:20

99.4

6:00

101.3

9:45

98.1

Paracetamol

7:55

101.1

6:30

102.2

10:45

100.1

5:30

101.3

8:20

101.7

6:55

101.8

12:30

102.9

6:30

98.9

8:30

Paracetamol

7:30

101.3

13:00

97.8

7:00

98.7

8:50

100.5

7:45

102.3

13:50

99

7:30

98.7

9:55

99.5

8:05

102.4

14:30

98.5

8:00

98

10:50

99.5

8:15

101.4

15:40

101.3

8:30

97.7

11:33

99.7

16:30

101.4

9:00

98.4

11:50

100.4

16:50

103.1

9:30

98

12:30

101.5

16:55

Paracetamol

10:30

98.8

12:55

101.5

17:20

101.9

11:00

100.5

13:15

101.5

17:25

101.8

11:25

100.9

13:35

102.8

17:45

100.5

11:40

101.6

14:00

Paracetamol

18:15

100.4

14:00

Admitted at EEDF hospital

15:00

99.9

18:40

100.6

16:15

99.5

19:00

99.2

16:50

99.3

19:22

98.5

17:10

100.5

17:20

101.6

18:00

102.6

22:15

100.8

19:15

101.5

23:00

102.7

19:25

101.8

23:10

Paracetamol

19:40

Paracetamol

20:40

100.4

21:20

99.2

22:20

98.2