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Scrub typhus pneumonitis

Scrub typhus pneumonitis 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png QJM: An International Journal of Medicine Oxford University Press

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References (3)

Publisher
Oxford University Press
Copyright
The Author 2010. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oup.com
ISSN
1460-2725
eISSN
1460-2393
DOI
10.1093/qjmed/hcq073
pmid
20466757
Publisher site
See Article on Publisher Site

Abstract

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

Journal

QJM: An International Journal of MedicineOxford University Press

Published: Jun 13, 2011

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