A Case of Duodenal Ulcer Perforation Combined with Scrub Typhus.
- Author:
Jong Won KANG
1
;
Woo Jin JEONG
;
Kyoung Won LEE
;
Sang Jin LEE
;
Joung Hwa LEE
;
Young Don KIM
;
Gab Jin CHEON
Author Information
1. Department of Internal Medicine, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Korea. jwoojini@gnah.co.kr
- Publication Type:Case Report
- Keywords:
Scrub typhus;
Duodenal ulcer;
Perforation
- MeSH:
Aged;
Duodenal Ulcer;
Endothelial Cells;
Female;
Fever;
Gastric Mucosa;
Gastrointestinal Tract;
Headache;
Hemorrhage;
Humans;
Hyperemia;
Lymphatic Diseases;
Orientia tsutsugamushi;
Scrub Typhus;
Systemic Vasculitis;
Ulcer;
Vasculitis
- From:Korean Journal of Medicine
2012;82(4):449-452
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Scrub typhus is an acute febrile illness that results from the destruction of endothelial cells by Orientia tsutsugamushi and subsequent systemic vasculitis. It manifests as fever, headache, myalgia, eschar formation, and lymphadenopathy. Some authors have reported that such vasculitis involves the gastrointestinal tract and that hyperemia, erosion, ulceration, and active bleeding of the gastric mucosa subsequently develop. However, no case of ulcer perforation in a patient with scrub typhus has been reported to date. Here, we report the case of a perforated duodenal ulcer in a 70-year-old female patient with scrub typhus.
