title: A Case of Scrub Typhus Complicated by Adult Respiratory Distress Syndrome and Successful Management with Extracorporeal Membrane Oxygenation.
abstract: A 67-year-old woman was diagnosed as having scrub typhus with pneumonitis. On admission, she was started on a combination therapy with levofloxacin and doxycycline. However, the patient developed severe acute respiratory distress syndrome (ARDS) on the 2nd day, and as a result, she underwent extracorporeal membrane oxygenation (ECMO). She was weaned from ECMO on the 10th day, as her respiratory status gradually improved. She was discharged without sequelae on the 23rd day. The outcome suggests that the use of ECMO should be considered for patients with ARDS induced from scrub typhus.
authors.affiliation: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Woo Young
authors.initials: WY
authors.lastname: Choi
authors.affiliation: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Seung Yun
authors.initials: SY
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Hea Yoon
authors.initials: HY
authors.lastname: Kwon
authors.affiliation: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Jae Hyoung
authors.initials: JH
authors.lastname: Im
authors.affiliation: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Areum
authors.initials: A
authors.lastname: Durey
authors.affiliation: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea.
authors.forename: Ji Hyeon
authors.initials: JH
authors.lastname: Baek
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Inha University School of Medicine, Incheon, Korea.
authors.forename: Young Sam
authors.initials: YS
authors.lastname: Kim
authors.affiliation: Department of Microbiology, Inha University School of Medicine, Incheon, Korea.
authors.forename: Jae-Seung
authors.initials: JS
authors.lastname: Kang
authors.affiliation: Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. ljinsoo@inha.ac.kr.
authors.forename: Jin-Soo
authors.initials: JS
authors.lastname: Lee
mesh_terms: D000368:Aged; D015199:Extracorporeal Membrane Oxygenation; D005260:Female; D006801:Humans; D013902:Radiography, Thoracic; D012128:Respiratory Distress Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D012612:Scrub Typhus / Q000150:complications* / Q000628:therapy