title: Acute Cholecystitis in Patients with Scrub Typhus.
abstract: Acute cholecystitis is a rare complication of scrub typhus. Although a few such cases have been reported in patients with scrub typhus, the clinical course is not well described. Of 12 patients, acute cholecystitis developed in 66.7% (8/12) of patients older than 60 yr. The scrub typhus group with acute cholecystitis had marginal significant longer hospital stay and higher cost than the group without cholecystitis according to propensity score matching. Scrub typhus should be kept in mind as a rare etiology of acute cholecystitis in endemic areas because the typical signs of scrub typhus such as skin rash and eschar can present after the abdominal pain.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Hyun
authors.initials: H
authors.lastname: Lee
authors.affiliation: Department of Laboratory Medicine, Konkuk University School of Medicine, Seoul, Korea.
authors.forename: Misuk
authors.initials: M
authors.lastname: Ji
authors.affiliation: Department of Internal Medicine, Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Jeong-Hwan
authors.initials: JH
authors.lastname: Hwang
authors.affiliation: Department of Internal Medicine, Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Ja-Yeon
authors.initials: JY
authors.lastname: Lee
authors.affiliation: Department of Preventive Medicine, Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Ju-Hyung
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Microbiology, Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Kyung Min
authors.initials: KM
authors.lastname: Chung
authors.affiliation: Department of Internal Medicine, Chonbuk National University Hospital, Jeonju, Korea. ; Research Institute of Clinical Medicine of Chonbuk National University-Chonbuk National University Hospital, Jeonju, Korea.
authors.forename: Chang-Seop
authors.initials: CS
authors.lastname: Lee
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D041881:Cholecystitis, Acute / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D056910:Republic of Korea; D012612:Scrub Typhus / Q000150:complications* / Q000175:diagnosis* / Q000628:therapy; D016896:Treatment Outcome
keywords: Acute; Cholecystitis; Complication; Propensity Score; Scrub Typhus