Watt G, Strickman D
Department of Medicine, Armed Forces Research Institute of Medical Science, Bangkok, Thailand.
Clin Infect Dis. 1994 Apr;18(4):624-6. doi: 10.1093/clinids/18.4.624.
Scrub typhus is not one of the more commonly encountered diseases in travelers returning from Asia, but it deserves more consideration in view of its severity and the availability of specific chemotherapy and chemoprophylaxis. We describe a case of scrub typhus that was associated with coma and multiorgan failure in a traveler returning to the United States from Thailand. The diagnosis was made only retrospectively despite a travel history and clinical signs that suggested infection with Rickettsia tsutsugamushi. No specific therapy was given, and marked neurological impairment persisted 6 months after the beginning of the illness. An increased awareness of scrub typhus is a prerequisite for recommending prophylaxis and instituting prompt therapy.
恙虫病不是从亚洲返回的旅行者中较常见的疾病之一，但鉴于其严重性以及有特定的化疗和化学预防方法，它值得更多关注。我们描述了一例从泰国返回美国的旅行者患恙虫病并伴有昏迷和多器官功能衰竭的病例。尽管有旅行史和临床体征提示感染恙虫病立克次体，但诊断仅为回顾性诊断。未给予特异性治疗，发病6个月后仍存在明显的神经功能障碍。提高对恙虫病的认识是推荐预防措施和及时开展治疗的前提条件。
