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William Kundin, Chien Liu, Patricia Harmon, P. Rodina (1964)
PATHOGENESIS OF SCRUB TYPHUS INFECTION (RICKETTSIA TSUTSUGAMUSHI) AS STUDIED BY IMMUNOFLUORESCENCE.Journal of immunology, 93
J. Im, K. Lee, Juyeon Kim, W. Lee (1988)
Pulmonary manifestations of tsutsugamushi diseaseJournal of the Korean Society of Radiology, 24
S. Song, Ki Kim, Y. Ku, S. Park, Young Kim, Dong‐Gun Lee, S. Yoon, Young Kim (2004)
Clinical Role of Interstitial Pneumonia in Patients with Scrub Typhus: A Possible Marker of Disease SeverityJournal of Korean Medical Science, 19
Q J Med 2011; 104:537–538 doi:10.1093/qjmed/hcq073 Advance Access Publication 13 May 2010 Clinical picture A 57-year-old male previously healthy patient pre- tests against the Orientia tsutsugamushi were posi- sented with a 1-week history of fever. Two weeks tive and scrub typhus infection with pneumonitis ago, he went to Orchid Island, which is near the east was diagnosed. We prescribed the antibiotic with coast of Taiwan for diving. One week later, he Minocycline and fever resolved within 24 h. Chest experienced fever, shaking chills, headache cough radiography also improved after treatment. Patient with yellowish sputum and mild dyspnea after re- was discharged after 1 week of treatment without turning from Orchid Island. He visited our hospital any complication. and was admitted. Physical examination revealed a Scrub typhus is an acute febrile illness, in which radiological findings may be of value in differenti- red indurated lesion surrounding a black necrotic center over left flank area (Figure 1A). Eschar was ation from other febrile episodes. Scrub typhus suspected. Blood examination showed elevated pneumonitis may be due to an immunological reac- liver enzymes and thrombocytopenia. Chest radiog- tion due to vasculitis secondary to direct endothelial raphy (Figure 1B) showed bilateral reticulonodular injury or
QJM: An International Journal of Medicine – Oxford University Press
Published: Jun 13, 2011
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