A Case of Scrub Typhus complicated with a Splenic Infarction
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
We present a patient with scrub typhus complicated with a splenic infarction. A 40-year-old man visited the emergency medical center complaining of fever for the previous week. He had no past medical history, but reported engaging in outdoor activities. Examination revealed a maculopapular rash on his trunk and an eschar on his epigastrium. Abdominal computed tomography was performed to examine the cause of the tenderness on the left upper quadrant of his abdomen, which revealed a splenic infarct. The patient was diagnosed with scrub typhus based on the results of blood polymerase chain reaction testing, and genetic sequencing confirmed the presence of Orientia tsutsugamushi Boryong. His symptoms improved following doxycycline treatment.
Abstract
We present a patient with scrub typhus complicated with a splenic infarction. A 40-year-old man visited the emergency medical center complaining of fever for the previous week. He had no past medical history, but reported engaging in outdoor activities. Examination revealed a maculopapular rash on his trunk and an eschar on his epigastrium. Abdominal computed tomography was performed to examine the cause of the tenderness on the left upper quadrant of his abdomen, which revealed a splenic infarct. The patient was diagnosed with scrub typhus based on the results of blood polymerase chain reaction testing, and genetic sequencing confirmed the presence of Orientia tsutsugamushi Boryong. His symptoms improved following doxycycline treatment.
참고문헌 (18)
- Watt G, "Scrub typhus and tropical rickettsioses", Curr Opin Infect Dis, 16, pp.429~436 (2003)[DOI]
- Lee HW, "Current situation of scrub typhus in South Korea from 2001-2013", Parasit Vectors, 8, pp.238~ (2015)[DOI]
- Kim SJ, "The clinical significance of upper gastrointestinal endoscopy in gastrointestinal vasculitis related to scrub typhus", Endoscopy, 32, pp.950~955 (2000)[DOI]
- Thap LC, "Septic shock secondary to scrub typhus: characteristics and complications", Southeast Asian J Trop Med Public Health, 33, pp.780~786 (2002)
- Yen TH, "Scrub typhus:a frequently overlooked cause of acute renal failure", Ren Fail, 25, pp.397~410 (2003)[DOI]
- Tsay RW, "Serious complications in scrub typhus", J Microbial Immunol Infect, 31, pp.240~244 (1998)
- Kim DM, "Clinical usefulness of eschar polymerase chain reaction for the diagnosis of scrub typhus: a prospective study", Clin Infect Dis, 43, pp.1296~1300 (2006)[DOI]
- Moron CG, "Identification of the target cells of Orientia tsutsugamushi in human cases of scrub typhus", Mod Pathol, 14, pp.752~759 (2001)[DOI]
- Ono Y, "Case of scrub typhus complicated by severe disseminated intravascular coagulation and death", Emergency Med Australas, 24, pp.577~580 (2012)[DOI]
- Lin WY, "An unusual presentation of scrub typhus with atraumatic hemoperitoneum", Am J Gastroenterol, 104, pp.1067~ (2009)[DOI]
- Chung JH, "Scrub typhus and cerebrovascular injury: a phenomenon of delayed treatment?", Am J Trop Med Hyg, 89, pp.119~122 (2013)[DOI]
- Kim DG, "Acute myocardial infarction following scrub typhus infection", Int J Cardiol, 114, pp.e18~e20 (2007)[DOI]
- 김정화, "Polyneuropathy and Cerebral Infarction Complicating Scrub Typhus", Journal of Clinical Neurology, 4(1), pp.36~39 (2008), 대한신경과학회
- Jung JO, "Two cases of tsutsugamushi disease complicated with splenic infarction", Korean J Med, 67(Suppl 3), pp.S932~S936 (2004)
- Raj SS, "Splenic infarct due to scrub typhus", J Glob Infect Dis, 6, pp.86~88 (2014)[DOI]
- Hwang JH, "Incidentally discovered splenic infarction associated with scrub typhus", Am J Trop Med Hyg, 93, pp.435~ (2015)[DOI]
- Jeong YJ, "Scrub typhus: clinical, pathologic, and imaging findings", Radiographics, 27, pp.161~172 (2007)[DOI]
- Park MJ, "Scrub typhus associated hepatic dysfunction and abdominal CT findings", Pak J Med Sci, 31, pp.295~299 (2015)
