Pancreatic abscess following scrub typhus associated with multiorgan failure.
Clinical severity of scrub typhus ranges from mild to fatal. Acute pancreatitis with abscess formation is a rare complication among patients with scrub typhus. This paper reports a case of scrub typhus in a 75 years old man with acute pancreatitis with abscess formation and multiorgan failure. Abdominal computed tomography showed multiple infected pancreatic pseudocysts with peri-pancreatic infiltration. Multiorgan failure was successfully treated with doxycycline, ceftriaxone, and supportive management. The pancreatic abscess was successfully drained percutaneously and the sizes of pseudocysts decreased remarkably.
Yi
Sun-Young
SY
Department of Internal Medicine, School of Medicine, Ewha Womans University, Yangcheongu Mokdong 911-1, Seoul 158-710, South Korea. syy@ewha.ac.kr
Tae
Jung-Hyun
JH
D000038:Abscess / Q000209:etiology*; D000208:Acute Disease; D000368:Aged; D006801:Humans; D008297:Male; D009102:Multiple Organ Failure / Q000209:etiology*; D010195:Pancreatitis / Q000209:etiology*; D012612:Scrub Typhus / Q000150:complications*