A Case of Scrub Typhus complicated with a Splenic Infarction.
- Author:
Areum DUREY
1
;
Hea Yoon KWON
;
Young Kyoung PARK
;
JiHyeon BAEK
;
Seung Baik HAN
;
Jae Seung KANG
;
Jin Soo LEE
Author Information
- Publication Type:Case Report
- Keywords: Scrub typhus; Splenic infarction; Orientia tsutsugamushi
- MeSH: Abdomen; Adult; Chungcheongnam-do; Doxycycline; Emergencies; Exanthema; Fever; Humans; Orientia tsutsugamushi; Polymerase Chain Reaction; Scrub Typhus*; Splenic Infarction*
- From:Infection and Chemotherapy 2018;50(1):55-58
- CountryRepublic of Korea
- Language:English
- Abstract: We present a patient with scrub typhus complicated with a splenic infarction. A 40-year-old man visited the emergency medical center complaining of fever for the previous week. He had no past medical history, but reported engaging in outdoor activities. Examination revealed a maculopapular rash on his trunk and an eschar on his epigastrium. Abdominal computed tomography was performed to examine the cause of the tenderness on the left upper quadrant of his abdomen, which revealed a splenic infarct. The patient was diagnosed with scrub typhus based on the results of blood polymerase chain reaction testing, and genetic sequencing confirmed the presence of Orientia tsutsugamushi Boryong. His symptoms improved following doxycycline treatment.
