Department of Internal Medicine, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Department of Pathology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea.
Kidney Res Clin Pract. 2013 Dec;32(4):190-3. doi: 10.1016/j.krcp.2013.09.003. Epub 2013 Nov 5.
Renal failure caused by scrub typhus is known to be reversible. In most cases, renal function is almost fully restored after appropriate antibiotic treatment. A 71-year-old man was diagnosed with scrub typhus complicated by renal failure. A renal biopsy revealed histopathologic findings consistent with acute tubulointerstitial nephritis. Renal function did not improve 18 months after discharge and the patient required continuous hemodialysis. Although severe renal failure requiring dialysis is a rare complication of scrub typhus, we describe a case of scrub typhus requiring maintenance hemodialysis. To the best of our knowledge, this is the first such report.
恙虫病导致的肾衰竭已知是可逆转的。在大多数情况下，适当的抗生素治疗后肾功能几乎可完全恢复。一名 71 岁男性被诊断为并发肾衰竭的恙虫病。肾活检显示符合急性肾小管间质性肾炎的组织病理学发现。出院 18 个月后肾功能仍未改善，患者需要持续血液透析。尽管需要透析的严重肾衰竭是恙虫病的罕见并发症，但我们描述了一例需要维持性血液透析的恙虫病病例。据我们所知，这是首例此类报告。
