Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Scrub Typhus with Acute Respiratory Distress Syndrome and Meningoencephalitis

급성 호흡곤란증후군과 수막뇌염을 동반한 쭈쭈가무시병 1예

  • Han, Hye-Won (Department of Internal Medicine, Catholic University of Korea, School of Medicine) ;
  • Choi, Young-Ki (Department of Internal Medicine, Catholic University of Korea, School of Medicine) ;
  • Park, Mahn-Won (Department of Internal Medicine, Catholic University of Korea, School of Medicine) ;
  • Park, Ho-Sung (Department of Internal Medicine, Catholic University of Korea, School of Medicine) ;
  • Son, Dong-Kyun (Department of Internal Medicine, Catholic University of Korea, School of Medicine) ;
  • Lo, Dae-Keun (Department of Internal Medicine, Catholic University of Korea, School of Medicine) ;
  • Kim, Seung-Joon (Department of Internal Medicine, Catholic University of Korea, School of Medicine) ;
  • Lee, Sook-Young (Department of Internal Medicine, Catholic University of Korea, School of Medicine) ;
  • Kim, Young-Kyoon (Department of Internal Medicine, Catholic University of Korea, School of Medicine) ;
  • Park, Sung-Hak (Department of Internal Medicine, Catholic University of Korea, School of Medicine)
  • 한혜원 (가톨릭대학교 의과대학 내과학교실) ;
  • 최영기 (가톨릭대학교 의과대학 내과학교실) ;
  • 박만원 (가톨릭대학교 의과대학 내과학교실) ;
  • 박호성 (가톨릭대학교 의과대학 내과학교실) ;
  • 손동균 (가톨릭대학교 의과대학 내과학교실) ;
  • 노대근 (가톨릭대학교 의과대학 내과학교실) ;
  • 김승준 (가톨릭대학교 의과대학 내과학교실) ;
  • 이숙영 (가톨릭대학교 의과대학 내과학교실) ;
  • 김영균 (가톨릭대학교 의과대학 내과학교실) ;
  • 박성학 (가톨릭대학교 의과대학 내과학교실)
  • Published : 2002.03.30
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Abstract

Scrub typhus is an acute, febrile disease of humans that is caused by Orientia Tsutsugamushi. It is transmitted through the bite of chiggers. The spectrum of the clinical severity for scrub typhus ranges from mild to severe with fatal complication such as meningoencephalitis, pneumonitis, myocarditis. Severe pulmonary involvement e.g. acute respiratory distress syndrome(ARDS) and meningoencephalitis have rarely been observed since the introduction of specific antibiotic therapy. We experienced a case of scrub typhus manifested with ARDS and meningoencephalitis. The patient was treated with doxycycline, anticonvulsant and mechanical ventilator therapy.

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