Acute Cholecystitis in Patients with Scrub Typhus.
10.3346/jkms.2015.30.11.1698
- Author:
Hyun LEE
1
;
Misuk JI
;
Jeong Hwan HWANG
;
Ja Yeon LEE
;
Ju Hyung LEE
;
Kyung Min CHUNG
;
Chang Seop LEE
Author Information
1. Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- Publication Type:Brief Communication ; Case Reports ; Research Support, Non-U.S. Gov't
- Keywords:
Cholecystitis;
Acute;
Scrub Typhus;
Complication;
Propensity Score
- MeSH:
Aged;
Aged, 80 and over;
Cholecystitis, Acute/*diagnosis/*etiology/therapy;
Diagnosis, Differential;
Female;
Humans;
Male;
Republic of Korea;
Scrub Typhus/*complications/*diagnosis/therapy;
Treatment Outcome
- From:Journal of Korean Medical Science
2015;30(11):1698-1700
- CountryRepublic of Korea
- Language:English
-
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.