Lee Hyun, Ji Misuk, Hwang Jeong-Hwan, Lee Ja-Yeon, Lee Ju-Hyung, Chung Kyung Min, Lee Chang-Seop
Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Department of Laboratory Medicine, Konkuk University School of Medicine, Seoul, Korea.
J Korean Med Sci. 2015 Nov;30(11):1698-700. doi: 10.3346/jkms.2015.30.11.1698. Epub 2015 Oct 16.
Acute cholecystitis is a rare complication of scrub typhus. Although a few such cases have been reported in patients with scrub typhus, the clinical course is not well described. Of 12 patients, acute cholecystitis developed in 66.7% (8/12) of patients older than 60 yr. The scrub typhus group with acute cholecystitis had marginal significant longer hospital stay and higher cost than the group without cholecystitis according to propensity score matching. Scrub typhus should be kept in mind as a rare etiology of acute cholecystitis in endemic areas because the typical signs of scrub typhus such as skin rash and eschar can present after the abdominal pain.
急性胆囊炎是恙虫病的一种罕见并发症。尽管已有少数恙虫病患者并发急性胆囊炎的病例报道，但临床病程尚未得到充分描述。在12例患者中，60岁以上患者发生急性胆囊炎的比例为66.7%（8/12）。根据倾向得分匹配，并发急性胆囊炎的恙虫病组患者住院时间显著延长，费用更高。在流行地区，应将恙虫病视为急性胆囊炎的一种罕见病因，因为恙虫病的典型体征如皮疹和焦痂可能在腹痛后出现。
