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-
1.
Song SW, Kim KT, Ku YM, Park SH, Kim YS, Lee DG, Yoon SA, Kim YO, 2004. Clinical role of interstitial pneumonia in patients with scrub typhus: a possible marker of disease severity. J Korean Med Sci 19: 668– 673.
-
2.
Strickman D, Smith CD, Corcoran KD, Ngampochjana M, Watcharapichat P, Phulsuksombati D, Tanita T, Dasch GA, Kelly DJ, 1994. Pathology of Rickettsia tsutsugamushi infection in Bandicota savilei, a natural host in Thailand. Am J Trop Med Hyg 51: 416– 423.
-
3.
Cho SW, Hwang JT, Oh TH, 2010. Education and imaging. Gastrointestinal: scrub typhus-induced acute gastric ulceration. J Gastroenterol Hepatol 25: 1331.
-
4.
Dass R, Deka NM, Duwarah SG, Barman H, Hoque R, Mili D, Barthakur D, 2011. Characteristics of pediatric scrub typhus during an outbreak in the north eastern region of India: peculiarities in clinical presentation, laboratory findings and complications. Indian J Pediatr 78: 1365– 1370.
-
5.
Levison ME, Bush LM, 2010. Peritonitis and intraperitoneal abscesses. Mandell GL, Bennett JE, Dolin R. eds. Principles and Practice of Infectious Diseases. Philadelphia, PA: Academic Press, 1011– 1034.
-
6.
Thap LC, Supanaranond W, Treeprasertsuk S, Kitvatanachai S, Chinprasatsak S, Phonrat B, 2002. Septic shock secondary to scrub typhus: characteristics and complications. Southeast Asian J Trop Med Public Health 33: 780– 786.
-
7.
Watt G, Parola P, 2003. Scrub typhus and tropical rickettsioses. Curr Opin Infect Dis 16: 429– 436.
-
8.
Wang CC, Liu SF, Liu JW, Chung YH, Su MC, Lin MC, 2007. Acute respiratory distress syndrome in scrub typhus. Am J Trop Med Hyg 76: 1148– 1152.
-
9.
Tsay RW, Chang FY, 1998. Serious complications in scrub typhus. J Microbiol Immunol Infect 31: 240– 244.
-
10.
Chang JH, Ju MS, Chang JE, Park YS, Han WS, Kim IS, Chang WH, 2000. Pericarditis due to tsutsugamushi disease. Scand J Infect Dis 32: 101– 102.
-
11.
Bae KB, Youn WH, Lee YJ, Jung SJ, Hong KH, 2010. Massive small bowel bleeding caused by scrub typhus in Korea. World J Gastrointest Surg 2: 47– 50.
-
12.
Kim SJ, Chung IK, Chung IS, Song DH, Park SH, Kim HS, Lee MH, 2000. The clinical significance of upper gastrointestinal endoscopy in gastrointestinal vasculitis related to scrub typhus. Endoscopy 32: 950– 955.
-
13.
Chien RN, Liu NJ, Lin PY, Liaw YF, 1995. Granulomatous hepatitis associated with scrub typhus. J Gastroenterol Hepatol 10: 484– 487.
-
14.
Wang NC, Ni YH, Peng MY, Chang FY, 2003. Acute acalculous cholecystitis and pancreatitis in a patient with concomitant leptospirosis and scrub typhus. J Microbiol Immunol Infect 36: 285– 287.
-
15.
Yi SY, Tae JH, 2007. Pancreatic abscess following scrub typhus associated with multiorgan failure. World J Gastroenterol 13: 3523– 3525.
-
16.
Lin WY, Lin GM, Chang FY, 2009. An unusual presentation of scrub typhus with atraumatic hemoperitoneum. Am J Gastroenterol 104: 1067.
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Peritonitis in Patients with Scrub Typhus
Chang-Hun Lee
Chang-Hun Lee
Department of Internal Medicine, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, Republic of Korea; Department of Internal Medicine, Department of Pathology, Wonkwang University College of Medicine, Iksan, Republic of Korea
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Jae-Hoon Lee
Jae-Hoon Lee
Department of Internal Medicine, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, Republic of Korea; Department of Internal Medicine, Department of Pathology, Wonkwang University College of Medicine, Iksan, Republic of Korea
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Ki Jung Yoon
Ki Jung Yoon
Department of Internal Medicine, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, Republic of Korea; Department of Internal Medicine, Department of Pathology, Wonkwang University College of Medicine, Iksan, Republic of Korea
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Jeong-Hwan Hwang
Jeong-Hwan Hwang
Department of Internal Medicine, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, Republic of Korea; Department of Internal Medicine, Department of Pathology, Wonkwang University College of Medicine, Iksan, Republic of Korea
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Chang-Seop Lee
Chang-Seop Lee
Department of Internal Medicine, Chonbuk National University Medical School and Research Institute of Clinical Medicine, Jeonju, Republic of Korea; Department of Internal Medicine, Department of Pathology, Wonkwang University College of Medicine, Iksan, Republic of Korea
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Various complications have been reported in scrub typhus cases including acute respiratory distress syndrome, encephalitis, pneumonia, pericarditis, acute renal failure, and acute hepatic failure. Few studies have reported on the gastrointestinal manifestations of scrub typhus. Typical gastrointestinal manifestations in patients with scrub typhus include abdominal pain, nausea, vomiting, hematemesis, melena, and diarrhea. The two cases presented in this study are the first reported cases of peritonitis associated with scrub typhus. This study shows that scrub typhus should also be included in the differential diagnosis of peritonitis in areas where Orientia tsutsugamushi is endemic.
Author Notes
Financial support: This paper was supported by research funds of Chonbuk National University in 2011.
Authors' addresses: Chang-Hun Lee, Jeong-Hwan Hwang, and Chang-Seop Lee, Department of Internal Medicine, Chonbuk National University Medical School, Jeonbuk, Republic of Korea, E-mails: 4icarus@hanmail.net, smilehwang77@hanmail.net, and lcsmd@jbnu.ac.kr. Jae-Hoon Lee, Department of Internal Medicine, Wonkwang University College of Medicine, Iksan, Republic of Korea, E-mails: john7026@hanmail.net. Ki Jung Yoon, Department of Pathology, Wonkwang University College of Medicine, Iksan, Republic of Korea, E-mail: kjyun@wku.ac.kr.
ProCite
RefWorks
Reference Manager
BibTeX
Zotero
EndNote
-
1.
Song SW, Kim KT, Ku YM, Park SH, Kim YS, Lee DG, Yoon SA, Kim YO, 2004. Clinical role of interstitial pneumonia in patients with scrub typhus: a possible marker of disease severity. J Korean Med Sci 19: 668– 673.
-
2.
Strickman D, Smith CD, Corcoran KD, Ngampochjana M, Watcharapichat P, Phulsuksombati D, Tanita T, Dasch GA, Kelly DJ, 1994. Pathology of Rickettsia tsutsugamushi infection in Bandicota savilei, a natural host in Thailand. Am J Trop Med Hyg 51: 416– 423.
-
3.
Cho SW, Hwang JT, Oh TH, 2010. Education and imaging. Gastrointestinal: scrub typhus-induced acute gastric ulceration. J Gastroenterol Hepatol 25: 1331.
-
4.
Dass R, Deka NM, Duwarah SG, Barman H, Hoque R, Mili D, Barthakur D, 2011. Characteristics of pediatric scrub typhus during an outbreak in the north eastern region of India: peculiarities in clinical presentation, laboratory findings and complications. Indian J Pediatr 78: 1365– 1370.
-
5.
Levison ME, Bush LM, 2010. Peritonitis and intraperitoneal abscesses. Mandell GL, Bennett JE, Dolin R. eds. Principles and Practice of Infectious Diseases. Philadelphia, PA: Academic Press, 1011– 1034.
-
6.
Thap LC, Supanaranond W, Treeprasertsuk S, Kitvatanachai S, Chinprasatsak S, Phonrat B, 2002. Septic shock secondary to scrub typhus: characteristics and complications. Southeast Asian J Trop Med Public Health 33: 780– 786.
-
7.
Watt G, Parola P, 2003. Scrub typhus and tropical rickettsioses. Curr Opin Infect Dis 16: 429– 436.
-
8.
Wang CC, Liu SF, Liu JW, Chung YH, Su MC, Lin MC, 2007. Acute respiratory distress syndrome in scrub typhus. Am J Trop Med Hyg 76: 1148– 1152.
-
9.
Tsay RW, Chang FY, 1998. Serious complications in scrub typhus. J Microbiol Immunol Infect 31: 240– 244.
-
10.
Chang JH, Ju MS, Chang JE, Park YS, Han WS, Kim IS, Chang WH, 2000. Pericarditis due to tsutsugamushi disease. Scand J Infect Dis 32: 101– 102.
-
11.
Bae KB, Youn WH, Lee YJ, Jung SJ, Hong KH, 2010. Massive small bowel bleeding caused by scrub typhus in Korea. World J Gastrointest Surg 2: 47– 50.
-
12.
Kim SJ, Chung IK, Chung IS, Song DH, Park SH, Kim HS, Lee MH, 2000. The clinical significance of upper gastrointestinal endoscopy in gastrointestinal vasculitis related to scrub typhus. Endoscopy 32: 950– 955.
-
13.
Chien RN, Liu NJ, Lin PY, Liaw YF, 1995. Granulomatous hepatitis associated with scrub typhus. J Gastroenterol Hepatol 10: 484– 487.
-
14.
Wang NC, Ni YH, Peng MY, Chang FY, 2003. Acute acalculous cholecystitis and pancreatitis in a patient with concomitant leptospirosis and scrub typhus. J Microbiol Immunol Infect 36: 285– 287.
-
15.
Yi SY, Tae JH, 2007. Pancreatic abscess following scrub typhus associated with multiorgan failure. World J Gastroenterol 13: 3523– 3525.
-
16.
Lin WY, Lin GM, Chang FY, 2009. An unusual presentation of scrub typhus with atraumatic hemoperitoneum. Am J Gastroenterol 104: 1067.
| Past two years | Past Year | Past 30 Days | |
|---|---|---|---|
| Abstract Views | 287 | 259 | 14 |
| Full Text Views | 239 | 5 | 0 |
| PDF Downloads | 57 | 4 | 0 |