title: Acute respiratory distress syndrome following scrub typhus: a case report.
abstract: OBJECTIVE
  To discuss a case of scrub typhus complicated with acute respiratory distress syndrome (ARDS) in a 67-year-old female. An overview of the prevalence and pathogenesis of the disorder, clinical diagnosis, and treatment are presented.
  
  
  METHODS
  Case report, diagnostic evidence, and scientific literature.
  
  
  CONCLUSIONS
  If not properly treated, scrub typhus can cause serious complications, such as ARDS and septicemia. When left untreated, the mortality rate for scrub typhus will be increased. When there is a cause to believe that scrub typhus is present, doxycycline treatment leads to rapid symptom improvement.
  
  
  CONCLUSIONS
  People might not be aware of the possibility of scrub typhus because it had been a more common disease in the past. Nurse practitioners (NPs) should take a detail history and be aware of common clinical manifestations to promote the early recognition and appropriate treatment of scrub typhus, which would prevent severe complications and reduce mortality. A resurgence of the disease could occur at any time among military troops serving in endemic regions.
authors.affiliation: Shin Kong Wu Ho-Su Memorial Hospital, National Taipei University of Nursing and Health Science, Taipei, Taiwan.
authors.forename: Chien-Chih
authors.initials: CC
authors.lastname: Tseng
authors.forename: Heng-Hsin
authors.initials: HH
authors.lastname: Tung
authors.forename: Shu-Fang
authors.initials: SF
authors.lastname: Wu
authors.forename: Tsae-Jyy
authors.initials: TJ
authors.lastname: Wang
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D005260:Female; D006801:Humans; D012128:Respiratory Distress Syndrome / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D012612:Scrub Typhus / Q000150:complications* / Q000188:drug therapy / Q000473:pathology
chemical_list: D000900:Anti-Bacterial Agents