title: Scrub typhus-induced serious gastric ulcer bleeding.
abstract: A 67-year-old woman presented with melena and general weakness. Upper gastrointestinal (GI) endoscopy revealed multiple ulcers and projectile bleeding in the stomach. She also complained of a 10-day history of a fever and was diagnosed with scrub typhus based on a positive result of the eschar polymerase chain reaction (PCR) testing. She fully recovered with endoscopic hemostasis, and administration of minocycline and omeprazole. In a patient with GI manifestations, scrub typhus, a condition with pathologically systemic vasculitis, should be considered in the possible background in endemic areas. The eschar PCR testing is a rapid and useful diagnostic tool to identify a specific strain.
authors: General Internal Medicine, Ohta-Nishinouchi Hospital, Japan. gim-hoshino@ohta.hp.or.jp
authors: Chisho
authors: C
authors: Hoshino
authors: Masashi
authors: M
authors: Narita
authors: Akane
authors: A
authors: Yamabe
authors: Yoshiyuki
authors: Y
authors: Sekikawa
authors: Kana
authors: K
authors: Ishihara
authors: Hiroshi
authors: H
authors: Ikeda
authors: Noriyuki
authors: N
authors: Satoh
authors: Minoru
authors: M
authors: Inoue
mesh_terms: D000368:Aged; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology; D006801:Humans; D012285:Orientia tsutsugamushi / Q000235:genetics; D012612:Scrub Typhus / Q000150:complications / Q000175:diagnosis*; D012720:Severity of Illness Index; D013276:Stomach Ulcer / Q000175:diagnosis* / Q000209:etiology / Q000382:microbiology