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During the congress, E-Posters will be accessible to all participants on the congress website 24/7, as well as in the E-poster stations in the congress center.
Preparing your E-Poster
Please review the E-Poster format requirements carefully when preparing your E-Poster. Should your E-Poster not meet the mentioned requirements, it may not be displayed as described above.
E-Poster Submission Deadline
Please prepare and upload your E-Poster no later than March 14, 2026 11.59PM CET. After this date, you will no longer be able to prepare and upload your E-poster and it will not be displayed and accessible on the congress website.
Please follow the instructions below to input your abstract title.
Abstract titles should be brief and reflect the content of the abstract.
Scrub typhus, caused by Orientia tsutsugamushi, is a prevalent yet under-recognized tropical infectious disease in India. It often presents with non-specific symptoms, leading to diagnostic delays and significant morbidity. Acute kidney injury (AKI) is a common and serious complication, impacting patient outcomes. This study aimed to determine the prevalence, clinical characteristics, and predictors of AKI in patients primarily diagnosed with scrub typhus at a tertiary care center in Southern India.
This retrospective observational study analyzed data from 176 adult patients diagnosed with rickettsial infection (Weil-Felix) at a tertiary care hospital in Kolar, Karnataka, between January 2021 and December 2024. Patients with co-infections were excluded. AKI was defined and staged using the Kidney Disease Improving Global Outcomes (KDIGO) criteria. Demographic, clinical, laboratory, and outcome data were collected, and statistical analyses identified AKI prevalence and predictors
Out of 176 patients, 44 (25%) developed AKI. The mean age of the patients was 37.46 ± 16.27 years. Most patients (75%) required intensive care admission. AKI was distributed across KDIGO stages 1 (15.3%), 2 (4.5%), and 3 (5.1%), with 4% requiring dialysis. Notably, 44% of cases presented during the winter months (December-February). Significant independent predictors of AKI included older age (OR 3.60), male gender (OR 4.14), diabetes mellitus (OR 3.13), septic shock (OR 5.42), and multiple organ dysfunction syndrome (MODS) (OR 52.8). Hypoalbuminemia was also associated with AKI. The study's mortality rate was 2.8%.
AKI is a common and severe complication in scrub typhus, significantly associated with increased morbidity and mortality, particularly in older male patients with co-morbidities like diabetes and severe systemic complications such as septic shock and MODS. Despite its severity, AKI in scrub typhus is often reversible with timely and appropriate management. These findings underscore the critical need for heightened clinical suspicion, early diagnosis, and aggressive management of AKI in scrub typhus patients, especially in endemic regions, to improve patient outcomes.
