Korean J Fam Med.
2012 Jul;33(4):243-246. 10.4082/kjfm.2012.33.4.243.
A Case of Scrub Typhus Complicated by Acute Calculous Cholecystitis
- Affiliations
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- 1Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
- 2Family Medicine Clinic and Research Institute of Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea. younghye82@naver.com
- 3Department of Family Medicine, Pusan National University Hospital, Busan, Korea.
- KMID: 2304258
- DOI: http://doi.org/10.4082/kjfm.2012.33.4.243
Abstract
- We report a case of acute calculous cholecystitis through scrub typhus. A 69-year-old woman presented with a history of general myalgia, fever, and right abdominal pain. She referred to our hospital for surgical treatment of clinically suspected acute cholecystitis. Physicians concluded the cause of cholecystitis as gall bladder (GB) stone and proper antibiotics treatment of scrub typhus was started later. The patient developed acute respiratory distress syndrome and multi organ failure through scrub typhus. Five days after admission, the patient was treated with proper antibiotics and discharged on the 13th day after starting doxycycline treatment without any sequelae. In areas endemic for tsutsugamushi disease, even though a patient with GB stone presents with symptoms of acute cholecystitis, careful history and physical examination are required to reveal the existence of eschars or skin eruptions.
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