title: Acute pancreatitis associated with scrub typhus.
abstract: Scrub typhus, or tsutsugamushi fever, is a zoonosis of rural Asia and the western Pacific islands. The causative organism, Orientia (formerly Rickettsia) tsutsugamushi, is transmitted to humans by the bite of a larval Leptotrombidium mite (chigger). Scrub typhus may have gastrointestinal presentations, such as acute acalculous cholecystitis, duodenal ulcer perforation, peritonitis and gastric ulceration. Acute pancreatitis with scrub typhus has been reported rarely. We report a patient of scrub typhus complicated by acute pancreatitis and acute kidney injury.
authors.affiliation: House Surgeon, Vydehi Institute of Medical Sciences & Research Centre, Bengaluru, Karnataka, India.
authors.forename: Padmavathi Devi
authors.initials: PD
authors.lastname: Sv
authors.affiliation: Junior Resident, Department of Medicine, Sri Venkateswara Institute of Medical Sciences, Tirupati, AP, India.
authors.forename: Aruna
authors.initials: A
authors.lastname: M
authors.affiliation: Senior Resident, Department of Nephrology, Sri Venkateswara Institute of Medical Sciences, Tirupati, AP, India.
authors.forename: Anil Cv
authors.initials: AC
authors.lastname: Kumar
authors.affiliation: Senior Resident, Department of Nephrology, Sri Venkateswara Institute of Medical Sciences, Tirupati, AP, India.
authors.forename: Hari
authors.initials: H
authors.lastname: Krishna Reddy
authors.affiliation: Senior Resident, Department of Nephrology, Sri Venkateswara Institute of Medical Sciences, Tirupati, AP, India ram_18@aol.com.
authors.forename: Sangeetha
authors.initials: S
authors.lastname: Bl
authors.affiliation: Head, Department of Nephrology, Director, Sri Venkateswara Institute of Medical Sciences, Tirupati, AP, India.
authors.forename: V
authors.initials: V
authors.lastname: Siva Kumar
mesh_terms: D000208:Acute Disease; D058186:Acute Kidney Injury / Q000000981:diagnostic imaging / Q000209:etiology*; D000328:Adult; D006801:Humans; D008297:Male; D012285:Orientia tsutsugamushi; D010195:Pancreatitis / Q000000981:diagnostic imaging / Q000209:etiology*; D012612:Scrub Typhus / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed
keywords: Acute pancreatitis; acute kidney injury; continuous renal replacement therapy; scrub typhus