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.
Department of Internal Medicine, School of Medicine, Ewha Womans University, Yangcheongu Mokdong 911-1, Seoul 158-710, South Korea. syy@ewha.ac.kr
Sun-Young
SY
Yi
Jung-Hyun
JH
Tae
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*