恙虫病合并急性呼吸窘迫综合征（ARDS）及其在重症监护病房的治疗：一例报告
Scrub Typhus with Acute Respiratory Distress Syndrome (ARDS) and its Management in Intensive Care Unit: A Case Report.
作者信息
Sankuratri Srinivas, Kalagara Pavani, Samala Kartika Balaji, Veledandi Prabhakar Krishna, Atiketi Srinadh Babu
机构信息
Senior Consultant, Department of Critical Care, Medical ICU, Krishna Institute of Medical Sciences Hospitals , Secunderabad, India .
Assistant Professor, Department of Microbiology, Apollo Institute of Medical Sciences & Research , Jubilee Hills, Hyderabad, India .
出版信息
J Clin Diagn Res. 2015 May;9(5):OD10-1. doi: 10.7860/JCDR/2015/13692.5924. Epub 2015 May 1.
Scrub typhus is zoonotic disease caused by Orientia tsutsugamushi (O tsutsugamushi). It is transmitted to humans by the bite of trombiculid mite larvae (chiggers). It is a re-emerging infectious disease in India. Clinical manifestations include fever, headache, anorexia, myalgia, eschar, adenopathy and maculopapular rash. Complications of Scrub typhus develop after first week of illness. Complications include meningoencephalitis, jaundice, myocarditis, ARDS and renal failure. Eschar and rash may be unnoticed or absent. Thorough physical examination, identification of eschar/rash throws light in thinking about scrub typhus, treating and preventing further complications. Here, we report a case of scrub typhus with Acute Respiratory Distress Syndrome (ARDS) and its management with non invasive ventilation in the intensive care unit.
恙虫病是由恙虫病东方体引起的一种人畜共患病。它通过恙螨幼虫（恙螨）叮咬传播给人类。在印度，它是一种再度出现的传染病。临床表现包括发热、头痛、厌食、肌痛、焦痂、淋巴结病和斑丘疹。恙虫病的并发症在发病第一周后出现。并发症包括脑膜脑炎、黄疸、心肌炎、急性呼吸窘迫综合征（ARDS）和肾衰竭。焦痂和皮疹可能未被注意到或不存在。全面的体格检查、焦痂/皮疹的识别有助于考虑恙虫病、进行治疗并预防进一步的并发症。在此，我们报告一例伴有急性呼吸窘迫综合征（ARDS）的恙虫病病例及其在重症监护病房采用无创通气的治疗情况。
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