Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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A Case of Concomitant Scrub Typhus and Leptospirosis

쓰쓰가무시병과 렙토스피라병 동시 감염 1예

  • Lee, Sang-Pyo (Division of Pulmonology, Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Shin, Hyun Jong (Division of Pulmonology, Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Lee, Hee-Kyung (Division of Pulmonology, Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Kwak, Hyun Jung (Division of Pulmonology, Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Kim, Sang-Heon (Division of Pulmonology, Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Kim, Tae-Hyung (Division of Pulmonology, Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Sohn, Jang-Wong (Division of Pulmonology, Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Yoon, Ho-Joo (Division of Pulmonology, Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Shin, Dong-Ho (Division of Pulmonology, Department of Internal Medicine, Hanyang University College of Medicine) ;
  • Park, Sung-Soo (Division of Pulmonology, Department of Internal Medicine, Hanyang University College of Medicine)
  • 이상표 (한양대학교 의과대학 내과학교실 호흡기내과) ;
  • 신현종 (한양대학교 의과대학 내과학교실 호흡기내과) ;
  • 이희경 (한양대학교 의과대학 내과학교실 호흡기내과) ;
  • 곽현정 (한양대학교 의과대학 내과학교실 호흡기내과) ;
  • 김상헌 (한양대학교 의과대학 내과학교실 호흡기내과) ;
  • 김태형 (한양대학교 의과대학 내과학교실 호흡기내과) ;
  • 손장원 (한양대학교 의과대학 내과학교실 호흡기내과) ;
  • 윤호주 (한양대학교 의과대학 내과학교실 호흡기내과) ;
  • 신동호 (한양대학교 의과대학 내과학교실 호흡기내과) ;
  • 박성수 (한양대학교 의과대학 내과학교실 호흡기내과)
  • Received : 2007.09.13
  • Accepted : 2007.09.28
  • Published : 2007.10.30
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Abstract

Tsutsugamushi disease (Scrub typhus) is an acute, febrile illness caused by Orientia tsutsugamushi, which is transmitted to humans through chigger bites. Leptospirosis, a febrile disease caused by various pathogenic Leptospira, and is acquired by exposure to contaminated water and soil. Both diseases have been the most common acute febrile diseases in the autumn in Korea for many years. Concomitant leptospirosis and scrub typhus is quite rare. We report a case of a coinfection with leptospirosis and scrub typhus in a 51-year-old male who presented with fever, abdominal pain and acute dyspnea. The patient was diagnosed with as acalculous cholecystitis, acute respiratory distress syndrome, and septic shock caused by the infection. This is the first case report of a coinfection with leptospirosis and scrub typhus in Korea.

Keywords

References

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