Korean J Med.  1997 Sep;53(3):436-439.

A Case of Scrub Typhus Complicated with Acute Renal Failure Meningoencephalitis and Hepatitis

• Kim JS
• Ku BJ
• Na KR
• Oh SM
• Bin KT
• Kim SS
• Lee KW
• Shin YT

Abstract

Scrub typhus is a zoonosis transmitted by a chigger of trombiculid mite and manifested with fever, skin rash, myalgia, and hepatitis etc. The renal involvement of the disease is prese-ted with transient microscopic hematuria and/or proteinuria. However acute renal failure or meningoencephalitis is very rare. We report a case of scrub typhus manifested with acute renal failure, meningoencephalitis, and hepatitis. The patient was treated with doxycycline and continuous arteriovenous hemofiltration (CAVH) and recovered successfully.

Keyword

Scrub typhus; Acute renal failure; Meningoencephalitis; Hepatitis

MeSH Terms

Acute Kidney Injury*
Doxycycline
Exanthema
Fever
Hematuria
Hemofiltration
Hepatitis*
Humans
Meningoencephalitis*
Myalgia
Proteinuria
Scrub Typhus*
Trombiculidae
Doxycycline