Tsutsugamushi Disease and Acute Bilateral Hearing Loss / 대한피부과학회지
Korean Journal of Dermatology
;
: 788-791, 2015.
Article
in Korean
| WPRIM
| ID: wpr-193080
ABSTRACT
Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi. The main symptoms of scrub typhus are fever, eschar, generalized rash, and swelling of the lymph nodes. Complications include pneumonia, myocarditis, meningitis, hepatitis, acute renal failure, and hearing loss. We report a rare case of Tsutsugamushi disease with acute bilateral hearing loss in a 65-year-old woman. The antibodies against O. tsutsugamushi were detected which led to the diagnosis of scrub typhus. She was treated immediately with oral doxycycline for 9 days and had a rapid and complete recovery. Scrub typhus can be associated with hearing loss, which is present in approximately one-third of the cases, but it is rare in Korea, therefore it is easy to misdiagnose scrub typhus as any other otological abnormalities. When patients present with fever, rash, and sensorineural hearing loss, clinicians should suspect scrub typhus and consider empirical antibiotic therapy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumonia
/
Orientia tsutsugamushi
/
Scrub Typhus
/
Doxycycline
/
Diagnosis
/
Exanthema
/
Acute Kidney Injury
/
Fever
/
Hearing Loss, Bilateral
/
Hearing Loss
Type of study:
Diagnostic study
Limits:
Aged
/
Female
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Dermatology
Year:
2015
Type:
Article
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