Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi and manifested with fever, skin rash, myalgia, and hepatitis etc. Most of patients improve with antibiotics such as doxycycline. The spectrum of the clinical severity ranges from mild to severe with fatal complication such as meningoencephalitis, pneumonitis, myocarditis. We report a case of a 72-year-old man with scrub typhus complicating subdural hematoma.
Aged ; Anti-Bacterial Agents ; Doxycycline ; Exanthema ; Fever ; Hematoma, Subdural* ; Hepatitis ; Humans ; Meningoencephalitis ; Myalgia ; Myocarditis ; Orientia tsutsugamushi ; Pneumonia ; Scrub Typhus*

Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi and manifested with fever, skin rash, myalgia, and hepatitis etc. Most of patients improve with antibiotics such as doxycycline. The spectrum of the clinical severity ranges from mild to severe with fatal complication such as meningoencephalitis, pneumonitis, myocarditis. We report a case of a 72-year-old man with scrub typhus complicating subdural hematoma.
Aged ; Anti-Bacterial Agents ; Doxycycline ; Exanthema ; Fever ; Hematoma, Subdural* ; Hepatitis ; Humans ; Meningoencephalitis ; Myalgia ; Myocarditis ; Orientia tsutsugamushi ; Pneumonia ; Scrub Typhus*

There are several reported possible complications of acupuncture including hepatitis, pneumothorax, and cardiac tamponades, but the development of empyema is unusual. All the previously described cases of empyemas were due to acupuncture needles being inadvertently left in the thoracic cavities. We describe a thirty seven years old female patient who developed empyema after multiple acupuncture sessions whose disease course was unique because the empyema developed without an acupuncture needle being left in the thoracic cavity. This case demonstrates that an acupuncture needle being left in the thoracic cavity is not necessary for the development of empyema after acupuncture sessions as previously described.
Acupuncture ; Cardiac Tamponade ; Empyema ; Female ; Hepatitis ; Humans ; Needles ; Pneumothorax ; Thoracic Cavity

BACKGROUND: In the measurement of bronchodilator reversibility, the forced expiratory volume in one second(FEV(1)) and the forced vital capacity(FVC) are commonly used parameters and recommended criteria for the reversibility requiring an increase of more than 200ml and 12% above the baseline, respectively. However, aged patients do not often meet the criteria of an increase in volume(>200ml) even though the medical history of that patient is adequate for asthma. This study investigated the role of the forced expiratory volume in six seconds(FEV(6)) in the bronchodilator reversibility test in elderly patients. METHODS: A total of 236 patients more than 65 years of age with a FEV(1)/FVC ratio<80% were enrolled in this study. The bronchodilator revesibility tests were examined. With the setting FEV(1) as the baseline, the patients were divided into three groups; Group I: FEV(1)> or = 80% of the predicted value, Group II: 60% Aged ; Asthma ; Forced Expiratory Volume ; Humans