Korean J Med.
2001 Sep;61(3):298-301.
A case of polymyositis associated with scrub typhus
- Affiliations
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- 1Department of Internal Medicine, College of Medicine, Dong-A University, Pusan, Korea.
- 2Department of Internal Medicine, Busan Advantist Hospital, Pusan, Korea.
Abstract
- We report the case of a 32-year-old female who developed polymyositis associated with scrub typhus. She exhibited the eschar with high titer of anti-Rickettsia(R)-tsutsugamushi antibody, severe muscle weakness, markedly elevated serum levels of muscle enzymes, EMG changes, and infiltration of macrophages in a muscle biopsy specimen. Initiation of appropriate antibiotic therapy resulted in complete healing of scrub typhus and disappearance of symptoms and signs of polymyositis within 1 month after high dose steroid therapy. We suggest that scrub typhus also be included within the causes of idiopathic inflammatory polymyositis.
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