Infect Chemother.  2019 Mar;51(1):73-76. 10.3947/ic.2019.51.1.73.

Pulmonary Artery Thrombosis Associated with Scrub Typhus

Affiliations
  • 1Department of Internal Medicine, Daegu Veterans Hospital, Daegu, Korea.
  • 2Division of Cardiology, Department of Internal Medicine, Yeungnam University Medical Center, Daegu, Korea. chanheebox@naver.com

Abstract

Scrub typhus is an acute febrile disease caused by Orientia tsutsugamushi, and the clinical course varies from mild and self-limiting to fatal. We describe a rare case of a pulmonary artery thrombosis associated with scrub typhus. Vasculitis via endothelial dysfunction caused by scrub typhus could be considered as the main mechanism.

Keyword

Scrub typhus; Pulmonary artery; Thrombosis; Vasculitis

MeSH Terms

Orientia tsutsugamushi
Pulmonary Artery*
Scrub Typhus*
Thrombosis*
Vasculitis

Figure

  • Figure 1 Two pea-sized black-crusted shallow ulcers (eschars) were observed with multiple erythematous macules on the left axilla (A) and right upper abdomen (B).

  • Figure 2 Chest computed tomography showed multifocal contrast filling defects along both pulmonary arteries.


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