Rickettsia, A harbinger of havoc

Authors : Debabrata Chakraborty, Debabrata Chakraborty, Mandira Chakraborty, Mandira Chakraborty, Sadanand Dey, Sadanand Dey, Jayanta Roy, Jayanta Roy

DOI : 10.18231/j.ijmmtd.2019.054

Volume : 5

Issue : 4

Year : 2019

Page No : 238-240

Stroke and infection have a close relationship! There is possibly interplay of inflammation with traditional
risk factors of stroke such as hypertension, hyperlipidemia, diabetes, and smoking. Ricketssiae infection is
already known to have multisystemic involvement. Stroke, both ischaemic and hemorrhagic though rarely
reported to be associated with this infection often resulted in drastic consequences. Here, we will present
a case where a gentleman who presented with stroke following a rickettsia infection only few days after
he was thrombolysed for an initial event. We probably managed to avoid a catastrophe by treating the
infection at earliest!
Key Messages: Infection may interact with traditional risk factors of stroke and may precipitate a vascular
event. Epidemiological knowledge of existing infections in community, early detection and intervention
may prevent complications even if stroke is precipitated.

Keywords: Ricketssiae, Postthrombolysis, Stroke.


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