Gaba Saurabh, Sharma Sanjana, Gaba Nayana, Gupta Monica
General Medicine, Government Medical College and Hospital, Chandigarh, IND.
Obstetrics and Gynaecology, Postgraduate Institute of Medical Education and Research, Chandigarh, IND.
Cureus. 2020 Sep 1;12(9):e10191. doi: 10.7759/cureus.10191.
Scrub typhus is a mite-borne rickettsial infection that presents with fever and a diverse array of complications. Lately, many epidemics have been reported from the Indian subcontinent. Data from these outbreaks suggest that liver injury in scrub typhus is common and reversible. We are reporting the case of a 27-year-old pregnant female who presented with fever, encephalopathy, jaundice and seizure. She had acute liver failure and dead fetus on admission. Despite appropriate antibiotics and supportive treatment, she continued to deteriorate and developed multiorgan dysfunction, leading to her demise.
恙虫病是一种由螨传播的立克次体感染，表现为发热及一系列不同的并发症。最近，印度次大陆报告了多起疫情。这些疫情的数据表明，恙虫病所致肝损伤很常见且可逆转。我们报告一例27岁的孕妇病例，该患者出现发热、脑病、黄疸及癫痫发作。入院时她已出现急性肝衰竭及死胎。尽管给予了适当的抗生素及支持治疗，她仍持续恶化并出现多器官功能障碍，最终死亡。
