Generalised painless lymphadenopathy is seen in? – Medicine MCQ

Generalised painless lymphadenopathy is seen in?
A. Rocky mountain spotted fever
B. Scrub typhus
C. Epidemic typhus
D. Q fever

Correct answer : B. Scrub typhus

Trombiculid mite - scrub typhusAdult trombiculid mite

  • Scrub typhus is caused by Rickettsia tsutsugamushi.
  • In severe scrub typhus, the patient develops apathy and prostration.
  • Erythematous maculopapular rash appears between 5th and 7th day involving trunk, face and limbs.
  • The patient also develops generalised painless lymphadenopathy.

Ref: Davidson’s Principles and Practice of Medicine, 22nd edition, p350,351
Image credits: Alan R Walker. Licensed under the Creative Commons Attribution-Share Alike 3.0 Unported license. https://en.wikipedia.org/wiki/File:Trombicula-mite-adult.JPG

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