경막하혈종이 합병된 쯔쯔가무시병 1예
A Case of Scrub Typhus Complicating Subdural Hematoma
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초록
쯔쯔가무시병은 Orientia tsutsugamushi에 의해 발생되는 급성 발열 질환으로 고열, 발진, 근육통, 간염 등의 임상 양상을 나타내며 대부분의 환자들은 doxycycline으로 호전된다. 임상양상은 불현성 감염에서 사망에 이르기까지 다양하며 뇌수막염, 폐렴, 심근염 등의 합병증이 발생할 수 있다. 쯔쯔가무시병 환자에서 지속적인 혈압상승, 두통, 의식혼탁 등의 소견이 있는 경우 경막하혈종이 합병되었을 가능성을 고려해야 하겠다. 저자들은 쯔쯔가무시병 환자에서 경막하혈종이 합병된 1예를 경험하였기에 보고하는 바이다.
Abstract
Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi and manifested with fever, skin rash, myalgia, and hepatitis etc. Most of patients improve with antibiotics such as doxycycline. The spectrum of the clinical severity ranges from mild to severe with fatal complication such as meningoencephalitis, pneumonitis, myocarditis. We report a case of a 72-year-old man with scrub typhus complicating subdural hematoma.
참고문헌 (10)
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