A Rare Presentation of Scrub Typhus: Multi-Organ Dysfunction [Acute Kidney Injury, Hepatitis] and Acute Respiratory Distress Syndrome
Bhaumil Shah, Sunil Kumar, Shaily Shah
Asian Journal of Research in Infectious Diseases · pp. 1–7 · Published 5 Jan 2023
10.9734/ajrid/2023/v12i1232Abstract
Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi- a gram negative intracellular bacilli. It typically manifests as eschar formation, fever, rash, myalgia and diffuse lymphadenopathy. The clinical severity of scrub typhus ranges from mild fever to a lethal outcome. Complications like sepsis, acute respiratory distress syndrome (ARDS) and multi organ dysfunction syndrome (MODS)--hepatitis, acute kidney injury contribute to the higher mortality rates, which range from 7-30% in untreated cases. Here, we report a case of 35 years old male who presented with complaints of fever, headache, generalised abdominal pain and dry cough for 7 days. The patient was tested positive for Scrub Typhus IgM antibody; and was complicated with MODS- AKI, Hepatitis and ARDS. After extensive intensive care, monitoring and treatment of 15-20 days, the patient recovered. Hence, early diagnosis and prompt treatment aids in decreasing the mortality in such cases.
References (6)
- 1 Estimating the burden of scrub typhus: A systematic review [DOI]
- 2 Clinical and paraclinical profile, and predictors of outcome in 90 cases of scrub typhus, Meghalaya, India [DOI]
- 3 A case of acute renal failure, rhabdomyolysis and disseminated intravascular coagulation associated with scrub typhus [DOI]
- 4 Scrub typhus complicating acute respiratory distress syndrome: a report of two cases.
- 5 Acute Pancreatitis, Shock, and Multiple Organ Dysfunction Syndrome in Scrub Typhus [DOI]
- 6 Diagnosis and treatment of scrub typhus--the Indian scenario.
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