J Korean Med Sci.  2015 Nov;30(11):1698-1700. 10.3346/jkms.2015.30.11.1698.

Acute Cholecystitis in Patients with Scrub Typhus

• Lee H
• Ji M
• Hwang JH
• Lee JY
• Lee JH
• Chung KM
• Lee CS

• KMID: 2351123
• DOI: http://doi.org/10.3346/jkms.2015.30.11.1698

Abstract

Acute cholecystitis is a rare complication of scrub typhus. Although a few such cases have been reported in patients with scrub typhus, the clinical course is not well described. Of 12 patients, acute cholecystitis developed in 66.7% (8/12) of patients older than 60 yr. The scrub typhus group with acute cholecystitis had marginal significant longer hospital stay and higher cost than the group without cholecystitis according to propensity score matching. Scrub typhus should be kept in mind as a rare etiology of acute cholecystitis in endemic areas because the typical signs of scrub typhus such as skin rash and eschar can present after the abdominal pain.

Keyword

Cholecystitis; Acute; Scrub Typhus; Complication; Propensity Score

MeSH Terms

Aged
Aged, 80 and over
Cholecystitis, Acute/*diagnosis/*etiology/therapy
Diagnosis, Differential
Female
Humans
Male
Republic of Korea
Scrub Typhus/*complications/*diagnosis/therapy
Treatment Outcome

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