Chowdhary Prawash Kumar, Agrawal Rakesh Kumar, Kumar Sanjeev, Kale Sanjeev Anant, Kumar Vishal
Department of Nephrology, Ramkrishna Care Hospital, Raipur, Chhattisgarh, India.
Department of Critical Care, Ramkrishna Care Hospital, Raipur, Chhattisgarh, India.
Indian J Crit Care Med. 2022 Jun;26(6):748-751. doi: 10.5005/jp-journals-10071-24256.
Scrub typhus is a known etiology of acute febrile illness in tropical regions such as Asia-Pacific. Several such reports are from the Indian subcontinent with manifestations such as non-specific febrile illness or multiorgan dysfunction [Acute respiratory distress syndrome (ARDS), myocarditis, hepatitis, acute kidney injury, or meningoencephalitis]. We came across a case with a presentation as immune thrombocytopenic purpura complicated by meningitis and acute kidney injury secondary to scrub typhus. This combination of presentation is rare and demands meticulous clinical examination and targeted management toward scrub typhus.
Chowdhary PK, Agrawal RK, Kumar S, Kale SA, Kumar V. Rare and Unusual Presentation as Immune Thrombocytopenic Purpura in Scrub Typhus Complicated by Meningitis and Acute Kidney Injury. Indian J Crit Care Med 2022;26(6):748-751.
恙虫病是亚太地区等热带地区急性发热性疾病的已知病因。印度次大陆有几篇此类报告,其表现为非特异性发热性疾病或多器官功能障碍[急性呼吸窘迫综合征(ARDS)、心肌炎、肝炎、急性肾损伤或脑膜脑炎]。我们遇到了一例以免疫性血小板减少性紫癜为表现,并发恙虫病所致脑膜炎和急性肾损伤的病例。这种表现组合很罕见,需要进行细致的临床检查并针对恙虫病进行有针对性的治疗。
乔杜里PK,阿格拉瓦尔RK,库马尔S,卡莱SA,库马尔V。恙虫病并发脑膜炎和急性肾损伤时罕见且不寻常的免疫性血小板减少性紫癜表现。《印度重症监护医学杂志》2022年;26(6):748 - 751。