Mondal Md Karimulla, Ghosh Jayaditya, Bhattacharya Bhaswar, Chatterjee Nandini, Ghosh Soumitra
Department of Internal Medicine, IPGMER & SSKM Hospital, Kolkata 700020, India.
Oxf Med Case Reports. 2022 Sep 26;2022(9):omac092. doi: 10.1093/omcr/omac092. eCollection 2022 Sep.
Scrub typhus is a mite borne zoonosis, caused by , a gram-negative intracellular organism. This infection usually presents in high prevalence in the rural areas of East Asia and Western pacific islands. It usually presents with fever, chill, myalgia, headache, skin rashes, having pathognomonic and skin lesion i.e. eschar in ~10% cases in Indian subcontinent. It can present with life-threatening complications on occasional. The simultaneous presentation of more than two complications is uncommon, rarely reported in literature. Here we report a case of 37-year-old woman with acute febrile illness, complicated with myocarditis, acute liver failure and leukemoid reaction. She was diagnosed promptly and successfully treated with doxycycline with full recovery of the complications.
恙虫病是一种由革兰氏阴性细胞内病原体引起的螨传人畜共患病。这种感染在东亚和西太平洋岛屿的农村地区通常高发。其症状通常包括发热、寒战、肌痛、头痛、皮疹，在印度次大陆约10%的病例中有特征性的皮肤病变即焦痂。偶尔可出现危及生命的并发症。同时出现两种以上并发症的情况并不常见，文献中鲜有报道。在此，我们报告一例37岁女性急性发热性疾病患者，并发心肌炎、急性肝衰竭和类白血病反应。她得到了及时诊断，并通过强力霉素成功治疗，并发症完全康复。
