title: Massive small bowel bleeding caused by scrub typhus in Korea.
abstract: A 79-year-old man was diagnosed with scrub typhus based on fever, eschar, skin rash and a markedly elevated serum tsutsugamushi antibody and doxycycline was started. Five days later, hematochezia developed and multiple small bowel ulcerations with hemorrhage were seen on colonoscopy. Despite intensive therapy, the massive hematochezia worsened and the distal small bowel was resected. Multiple ulcerated lesions were identified pathologically as vasculitis caused by scrub typhus. This is the first reported case of pathologically proven small bowel involvement in scrub typhus infection.
authors.affiliation: Ki Beom Bae, Won Hwa Youn, Kwan Hee Hong, Department of Surgery, Inje University College of Medicine, Busan Paik Hospital, 633-165 Gaegum-dong, Jin-gu, Busan 614-735, South Korea.
authors.forename: Ki Beom
authors.initials: KB
authors.lastname: Bae
authors.forename: Won Hwa
authors.initials: WH
authors.lastname: Youn
authors.forename: Youn Jae
authors.initials: YJ
authors.lastname: Lee
authors.forename: Soo Jin
authors.initials: SJ
authors.lastname: Jung
authors.forename: Kwan Hee
authors.initials: KH
authors.lastname: Hong