A Case of Scrub Typhus complicated with a Splenic Infarction

We present a patient with scrub typhus complicated with a splenic infarction. A 40-year-old man visited the emergency medical center complaining of fever for the previous week. He had no past medical history, but reported engaging in outdoor activities. Examination revealed a maculopapular rash on h...

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Autores principales: Durey, Areum, Kwon, Hea Yoon, Park, Young Kyoung, Baek, JiHyeon, Han, Seung Baik, Kang, Jae-Seung, Lee, Jin-Soo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Infectious Diseases and Korean Society for Chemotherapy 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895834/
https://www.ncbi.nlm.nih.gov/pubmed/29637756
http://dx.doi.org/10.3947/ic.2018.50.1.55
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author Durey, Areum
Kwon, Hea Yoon
Park, Young Kyoung
Baek, JiHyeon
Han, Seung Baik
Kang, Jae-Seung
Lee, Jin-Soo
author_facet Durey, Areum
Kwon, Hea Yoon
Park, Young Kyoung
Baek, JiHyeon
Han, Seung Baik
Kang, Jae-Seung
Lee, Jin-Soo
author_sort Durey, Areum
collection PubMed
description We present a patient with scrub typhus complicated with a splenic infarction. A 40-year-old man visited the emergency medical center complaining of fever for the previous week. He had no past medical history, but reported engaging in outdoor activities. Examination revealed a maculopapular rash on his trunk and an eschar on his epigastrium. Abdominal computed tomography was performed to examine the cause of the tenderness on the left upper quadrant of his abdomen, which revealed a splenic infarct. The patient was diagnosed with scrub typhus based on the results of blood polymerase chain reaction testing, and genetic sequencing confirmed the presence of Orientia tsutsugamushi Boryong. His symptoms improved following doxycycline treatment.
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spelling pubmed-58958342018-04-13 A Case of Scrub Typhus complicated with a Splenic Infarction Durey, Areum Kwon, Hea Yoon Park, Young Kyoung Baek, JiHyeon Han, Seung Baik Kang, Jae-Seung Lee, Jin-Soo Infect Chemother Case Report We present a patient with scrub typhus complicated with a splenic infarction. A 40-year-old man visited the emergency medical center complaining of fever for the previous week. He had no past medical history, but reported engaging in outdoor activities. Examination revealed a maculopapular rash on his trunk and an eschar on his epigastrium. Abdominal computed tomography was performed to examine the cause of the tenderness on the left upper quadrant of his abdomen, which revealed a splenic infarct. The patient was diagnosed with scrub typhus based on the results of blood polymerase chain reaction testing, and genetic sequencing confirmed the presence of Orientia tsutsugamushi Boryong. His symptoms improved following doxycycline treatment. The Korean Society of Infectious Diseases and Korean Society for Chemotherapy 2018-03 2017-07-26 /pmc/articles/PMC5895834/ /pubmed/29637756 http://dx.doi.org/10.3947/ic.2018.50.1.55 Text en Copyright © 2018 by The Korean Society of Infectious Diseases and Korean Society for Chemotherapy http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Durey, Areum
Kwon, Hea Yoon
Park, Young Kyoung
Baek, JiHyeon
Han, Seung Baik
Kang, Jae-Seung
Lee, Jin-Soo
A Case of Scrub Typhus complicated with a Splenic Infarction
title A Case of Scrub Typhus complicated with a Splenic Infarction
title_full A Case of Scrub Typhus complicated with a Splenic Infarction
title_fullStr A Case of Scrub Typhus complicated with a Splenic Infarction
title_full_unstemmed A Case of Scrub Typhus complicated with a Splenic Infarction
title_short A Case of Scrub Typhus complicated with a Splenic Infarction
title_sort case of scrub typhus complicated with a splenic infarction
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895834/
https://www.ncbi.nlm.nih.gov/pubmed/29637756
http://dx.doi.org/10.3947/ic.2018.50.1.55
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