A case of scrub typhus complicated by acute calculous cholecystitis.
We report a case of acute calculous cholecystitis through scrub typhus. A 69-year-old woman presented with a history of general myalgia, fever, and right abdominal pain. She referred to our hospital for surgical treatment of clinically suspected acute cholecystitis. Physicians concluded the cause of cholecystitis as gall bladder (GB) stone and proper antibiotics treatment of scrub typhus was started later. The patient developed acute respiratory distress syndrome and multi organ failure through scrub typhus. Five days after admission, the patient was treated with proper antibiotics and discharged on the 13th day after starting doxycycline treatment without any sequelae. In areas endemic for tsutsugamushi disease, even though a patient with GB stone presents with symptoms of acute cholecystitis, careful history and physical examination are required to reveal the existence of eschars or skin eruptions.
Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
Su Jin
SJ
Lee
Young Hye
YH
Cho
Sang Yeoup
SY
Lee
Dong Wook
DW
Jeong
Eun Jung
EJ
Choi
Yun Jin
YJ
Kim
Jeong Gyu
JG
Lee
Yu Hyun
YH
Lee