Your browser doesn't support javascript.
loading
Septic shock secondary to scrub typhus: characteristics and complications.
Southeast Asian J Trop Med Public Health ; 2002 Dec; 33(4): 780-6
Article in English | IMSEAR | ID: sea-36150
ABSTRACT
Scrub typhus is an acute febrile illness caused by infection with Orientia tsutsugamushi transmitted by the bite of larval trombiculid mites (chiggers). A prospective study was conducted in septic shock patients in Maharat Hospital, Nakhon Ratchasima Province, Thailand, from 12 November 2001 to 5 January 2002. Of the 51 septic shock patients studied during the 7 week period, 18 (35.3%) were found to have evidence of scrub typhus infection; 3 patients (16.7%) died. In this study, septic shock caused by Orientia tsutsugamushi is the most prominent (35.3%) in endemic area of scrub typhus. Scrub typhus with septic shock patients results in organ failure respiratory failure, DIC were predominant, followed by renal and hepatic involvement. Two deaths were due to respiratory failure and one death was as a result of combined respiratory and renal failure. Fever was the most common symptom, followed by headache, myalgia and dyspnea; lymphadenophathy and eschar are common signs. Laboratory findings revealed that almost all of the patients had a mild leukocytosis, reduced hematocrit and thrombocytopenia; SGOT, ALP, direct bilirubin (DB), total billirubin (TB), BUN, Cr were elevated; hypoalbuminemia was noted. Urinalysis showed that 88.9% of the patients had albuminuria. 77.8% of patients had abnormal chest X-rays.
Subject(s)
Full text: Available Index: IMSEAR (South-East Asia) Main subject: Arachnid Vectors / Aspartate Aminotransferases / Respiratory Insufficiency / Shock, Septic / Thailand / Thrombocytopenia / Bilirubin / Blood Urea Nitrogen / Aged / Female Type of study: Observational study Country/Region as subject: Asia Language: English Journal: Southeast Asian J Trop Med Public Health Year: 2002 Type: Article

Similar

MEDLINE

...
LILACS

LIS

Full text: Available Index: IMSEAR (South-East Asia) Main subject: Arachnid Vectors / Aspartate Aminotransferases / Respiratory Insufficiency / Shock, Septic / Thailand / Thrombocytopenia / Bilirubin / Blood Urea Nitrogen / Aged / Female Type of study: Observational study Country/Region as subject: Asia Language: English Journal: Southeast Asian J Trop Med Public Health Year: 2002 Type: Article