Browse > Article
http://dx.doi.org/10.3904/kjm.2014.86.2.253

Severe Scrub Typhus Complicated by Myofascitis Due to the Taguchi Strain of Orientia tsutsugamushi  

Beom, Jong Wook (Department of Internal Medicine, Jeju National University School of Medicine)
Heo, Sang Teak (Department of Internal Medicine, Jeju National University School of Medicine)
Park, Ji Kang (Department of Radiology, Jeju National University School of Medicine)
Koh, Young-Sang (Department of Microbiology, Jeju National University School of Medicine)
Kim, Sohyun (Department of Microbiology, Jeju National University School of Medicine)
Publication Information
The Korean Journal of Medicine / v.86, no.2, 2014 , pp. 253-257 More about this Journal
Abstract
Scrub typhus is an acute febrile illness with focal or general vasculitis that is caused by Orientia tsutsugamushi. The spectrum of clinical severity ranges from mild to severe with potentially fatal complications including acute renal failure, gastrointestinal bleeding, meningitis, myocarditis, and pneumonia. However, myofascitis with scrub typhus has not been reported to date. We report a case of pneumonia, meningitis, and myofascitis in a 56-year-old male patient with scrub typhus due to the Taguchi strain of O. tsutsugamushi.
Keywords
Scrub typhus; Pneumonia; Meningitis; Fasciitis;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Kim KH, Jung DS, Kim SY, et al. Severe scrub typhus with enterocolitis by the Ikeda strain of Orientia tsutsugamushi. Infect Chemother 2012;44:469-472.   DOI
2 Berman SJ, Kundin WD. Scrub typhus in South Vietnam: a study of 87 cases. Ann Intern Med 1973;79:26-30.   DOI   ScienceOn
3 Jeong YJ, Kim S, Wood YD, Lee JW, Kim KI, Lee SH. Scrub typhus: clinical, pathologic, and imaging findings. Radiographics 2007;27:161-172.   DOI   ScienceOn
4 Park SW, Lee CK, Kwak YG, et al. Antigenic drift of Orientia tsutsugamushi in South Korea as identified by the sequence analysis of a 56-kDa protein-encoding gene. Am J Trop Med Hyg 2010;83:930-935.   DOI   ScienceOn
5 Silpapojakul K, Ukkachoke C, Krisanapan S, Silpapojakul K. Rickettsial meningitis and encephalitis. Arch Intern Med 1991;151:1753-1757.   DOI   ScienceOn
6 Suputtamongkol Y, Suttinont C, Niwatayakul K, et al. Epidemiology and clinical aspects of rickettsioses in Thailand. Ann N Y Acad Sci 2009;1166:172-179.   DOI   ScienceOn
7 Chung MH, Han SW, Choi MG, et al. Comparison of a 3-day course of azithromycin with doxycycline for the treatment of scrub typhus. Korean J Infect Dis 2000;32:433-438.
8 Kim YS, Yun HJ, Shim SK, Koo SH, Kim SY, Kim S. A comparative trial of a single dose of azithromycin versus doxycycline for the treatment of mild scrub typhus. Clin Infect Dis 2004;39:1329-1335.   DOI   ScienceOn
9 Park SW, Lee CS, Lee CK, et al. Severity predictors in eschar-positive scrub typhus and role of serum osteopontin. Am J Trop Med Hyg 2011;85:924-930.   DOI