A Case of Scrub Typhus Complicated by Acute Calculous Cholecystitis.
10.4082/kjfm.2012.33.4.243
- Author:
Su Jin LEE
1
;
Young Hye CHO
;
Sang Yeoup LEE
;
Dong Wook JEONG
;
Eun Jung CHOI
;
Yun Jin KIM
;
Jeong Gyu LEE
;
Yu Hyun LEE
Author Information
1. Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
- Publication Type:Case Report
- Keywords:
Scrub Typhus;
Acute Cholecystitis;
Gallstones
- MeSH:
Abdominal Pain;
Aged;
Anti-Bacterial Agents;
Cholecystitis;
Cholecystitis, Acute;
Doxycycline;
Female;
Fever;
Gallstones;
Humans;
Physical Examination;
Respiratory Distress Syndrome, Adult;
Scrub Typhus;
Skin;
Urinary Bladder
- From:Korean Journal of Family Medicine
2012;33(4):243-246
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a case of acute calculous cholecystitis through scrub typhus. A 69-year-old woman presented with a history of general myalgia, fever, and right abdominal pain. She referred to our hospital for surgical treatment of clinically suspected acute cholecystitis. Physicians concluded the cause of cholecystitis as gall bladder (GB) stone and proper antibiotics treatment of scrub typhus was started later. The patient developed acute respiratory distress syndrome and multi organ failure through scrub typhus. Five days after admission, the patient was treated with proper antibiotics and discharged on the 13th day after starting doxycycline treatment without any sequelae. In areas endemic for tsutsugamushi disease, even though a patient with GB stone presents with symptoms of acute cholecystitis, careful history and physical examination are required to reveal the existence of eschars or skin eruptions.
