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- Title
Acute Severe Calculous Cholecystitis with Multiorgan Failure Complicated by Scrub Typhus.
- Authors
Acharya, Suman; Yadav, Jayant Kumar; Khanal, Nischal; Bhandari, Raju; Ghimire, Bikal
- Abstract
Scrub typhus is a febrile illness and can present with manifestations ranging from subclinical symptoms to multiorgan failure and death. Scrub typhus is a rare etiology of acute cholecystitis. A patient presenting with the features of acute cholecystitis who does not respond to standard treatment should be screened for scrub typhus in a typhus endemic region. We report a case of a 70-year-old female with acute severe calculous cholecystitis with multiorgan failure complicated by scrub typhus. She improved remarkably after starting doxycycline for scrub typhus. Scrub typhus should be considered as a trigger in a patient presenting with cholecystitis in a typhus endemic region.
- Subjects
TSUTSUGAMUSHI disease; CHOLECYSTITIS; MULTIPLE organ failure; ETIOLOGY of diseases; THERAPEUTICS
- Publication
Case Reports in Surgery, 2019, p1
- ISSN
2090-6900
- Publication type
Article
- DOI
10.1155/2019/7505108