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Severe Scrub Typhus with Enterocolitis by the Ikeda Strain of Orientia tsutsugamushi / 감염과화학요법
Infection and Chemotherapy ; : 469-472, 2012.
Artigo em Coreano | WPRIM | ID: wpr-218092
ABSTRACT
Scrub typhus is a mite-borne bacterial infection of humans that is caused by Orientia tsutsugamushi, which causes generalized vasculitis. The disease may involve the tissues of any organ system but no case with involvement of the lower gastrointestinal tract has been reported. We report a case of a 39-year old Korean male with enterocolitis of severe scrub typhus, of which the serotype was Ikeda strain. The patient was admitted to hospital with fever, abdominal pain and shock. He developed multi organ failure and frequent watery diarrhea. Abdominal computed tomography revealed diffuse edematous thickening of the entire small and colon with inflammation. Three days after admission, the antibody to O. tsutsugamushi was reported to be 1320. He improved with doxycycline and azithromycin, and the persistent watery diarrhea stopped at 24 hours. This study shows that scrub typhus should be considered when the small and large intestine are affected. For the genotype of O. tsutsugamushi in Korea, additional studies of the impact of changes in the vector distribution on the genotype distribution will be needed.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Orientia tsutsugamushi / Choque / Entorses e Distensões / Infecções Bacterianas / Vasculite / Tifo por Ácaros / Dor Abdominal / Doxiciclina / Colo / Azitromicina Limite: Humanos / Masculino País/Região como assunto: Ásia Idioma: Coreano Revista: Infection and Chemotherapy Ano de publicação: 2012 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Orientia tsutsugamushi / Choque / Entorses e Distensões / Infecções Bacterianas / Vasculite / Tifo por Ácaros / Dor Abdominal / Doxiciclina / Colo / Azitromicina Limite: Humanos / Masculino País/Região como assunto: Ásia Idioma: Coreano Revista: Infection and Chemotherapy Ano de publicação: 2012 Tipo de documento: Artigo