Acute respiratory distress syndrome in Scrub typhus - An under recognized complication!
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 37025215.
- Also identified by DOI 10.4103/jfmpc.jfmpc_1130_22 and PMC identifier 10071914.
- Licence recorded as CC BY-NC-SA.
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Abstract
Scrub typhus is an acute febrile illness caused by the bacterium <i>Orientia tsutsugamushi</i>. It usually presents with high-grade fever, body aches, and skin rash. We report the case of a woman who presented with acute febrile illness, bilateral pneumonia, and severe hypoxemia. The presence of a typical eschar on the abdomen, made us suspect scrub typhus. Anti-<i>O. tsutsugamushi</i> Immunoglobulin M (IgM) antibody in the serum was detected in significant titers. She was treated with intravenous doxycycline and supplemental oxygen. Thus, scrub typhus should be considered in the differential diagnosis of febrile illness with acute respiratory distress syndrome.