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A Case of Scrub Typhus with Acute Respiratory Distress Syndrome and Meningoencephalitis  

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)
Publication Information
Tuberculosis and Respiratory Diseases / v.52, no.3, 2002 , pp. 283-287 More about this Journal
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.
Keywords
Scrub typhus; Meningoencephalitis; ARDS;
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