Multiple organ failure complicating probable scrub typhus.
This report describes a case of life-threatening acute respiratory distress syndrome with multiple organ failure complicating probable scrub typhus. Favorable outcome was associated with fluoroquinolone therapy. Scrub typhus should be suspected in travelers returning from Southeast Asia presenting with unexplained respiratory manifestations.
Cracco
C
C
Service de Pneumologie et Réanimation, Département des Maladies Infectieuses et Tropicales, Parasitologie et Santé Publique, 75651 Paris Cedex 13, France.
Delafosse
C
C
Baril
L
L
Lefort
Y
Y
Morelot
C
C
Derenne
J P
JP
Bricaire
F
F
Similowski
T
T
D000328:Adult; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002439:Cefotaxime / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009102:Multiple Organ Failure / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology / Q000503:physiopathology; D015242:Ofloxacin / Q000627:therapeutic use; D012285:Orientia tsutsugamushi / Q000276:immunology; D012612:Scrub Typhus / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology / Q000503:physiopathology; D016896:Treatment Outcome
D000890:Anti-Infective Agents; D002511:Cephalosporins; D015242:Ofloxacin; D002439:Cefotaxime