Article

Peritonitis in patients with scrub typhus.

Department of Internal Medicine, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, Republic of Korea.
The American journal of tropical medicine and hygiene (impact factor: 2.59). 06/2012; 86(6):1046-8. DOI:10.4269/ajtmh.2012.11-0586 pp.1046-8
Source: PubMed

ABSTRACT Various complications have been reported in scrub typhus cases including acute respiratory distress syndrome, encephalitis, pneumonia, pericarditis, acute renal failure, and acute hepatic failure. Few studies have reported on the gastrointestinal manifestations of scrub typhus. Typical gastrointestinal manifestations in patients with scrub typhus include abdominal pain, nausea, vomiting, hematemesis, melena, and diarrhea. The two cases presented in this study are the first reported cases of peritonitis associated with scrub typhus. This study shows that scrub typhus should also be included in the differential diagnosis of peritonitis in areas where Orientia tsutsugamushi is endemic.

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Keywords

abdominal pain
 
acute hepatic failure
 
acute renal failure
 
acute respiratory distress syndrome
 
cases
 
differential diagnosis
 
gastrointestinal manifestations
 
hematemesis
 
nausea
 
Orientia tsutsugamushi
 
pericarditis
 
peritonitis
 
scrub typhus
 
scrub typhus cases
 
two cases
 
Typical gastrointestinal manifestations
 
Various complications