Peritonitis in patients with scrub typhus.
Various complications have been reported in scrub typhus cases including acute respiratory distress syndrome, encephalitis, pneumonia, pericarditis, acute renal failure, and acute hepatic failure. Few studies have reported on the gastrointestinal manifestations of scrub typhus. Typical gastrointestinal manifestations in patients with scrub typhus include abdominal pain, nausea, vomiting, hematemesis, melena, and diarrhea. The two cases presented in this study are the first reported cases of peritonitis associated with scrub typhus. This study shows that scrub typhus should also be included in the differential diagnosis of peritonitis in areas where Orientia tsutsugamushi is endemic.
Department of Internal Medicine, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, Republic of Korea. lcsmd@jbnu.ac.kr
Chang-Hun
CH
Lee
Jae-Hoon
JH
Lee
Ki Jung
KJ
Yoon
Jeong-Hwan
JH
Hwang
Chang-Seop
CS
Lee
D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008297:Male; D012285:Orientia tsutsugamushi / Q000302:isolation & purification / Q000472:pathogenicity; D010538:Peritonitis / Q000150:complications* / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D012612:Scrub Typhus / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology
D000900:Anti-Bacterial Agents; D004318:Doxycycline