A Case of Scrub Typhus with Acute Respiratory Distress Symdrome and Meningoencephalitis.
10.4046/trd.2002.52.3.283
- Author:
Hye Won HAN
1
;
Young Ki CHOI
;
Mahn Won PARK
;
Ho Sung PARK
;
Dong Kyun SON
;
Dae Keun LO
;
Seung Joon KIM
;
Sook Young LEE
;
Young Kyoon KIM
;
Sung Hak PARK
Author Information
1. Department of Internal Medicine, Catholic University of Korea. cmcpsh@cmc.cuk.ac.kr
- Publication Type:Case Report
- Keywords:
Scrub typhus;
Meningoencephalitis;
ARDS
- MeSH:
Doxycycline;
Humans;
Meningoencephalitis*;
Myocarditis;
Pneumonia;
Scrub Typhus*;
Trombiculidae;
Ventilators, Mechanical
- From:Tuberculosis and Respiratory Diseases
2002;52(3):283-287
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Scrub typhus is an acute, febrile disease of humans that is caused by Orentia Tsutsugamushi. It is transmitted through the bite of chiggers. The spectrum of the clinical severity for scrub typhus ranges from mild to sever e with fatal complication such as meningoencephalitis, pneumonitis, myocarditis. Severe pulmonary involvement e.g. acute respiratory distress syndrome(ARDS) and meningoencephalitis have rarely been obseved since the introduction of specific antibiotic therapy. We experienced a case of scrub typhus manifested with ARDS and meningoencephalitis. The patient was treated with doxycycline, anticonvulsant and mechanical ventilator thrapy.
