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- Title
Scrub Typhus Complicated by ARDS, Myocarditis, and Encephalitis Imported to Oman from Nepal.
- Authors
Mahdi, Asmaa Sabr; Al-Khalili, Sulien Mubarak; Chao Chien Chung; Molai, Mariya; Ibrahim, Hashim; Eskild, Petersen; Khamis, Faryal; Nenad, Pandak
- Abstract
Scrub typhus is a potentially fatal rickettsial infection caused by Orientia tsutsugamushi. It is an obligate intracellular Gram-negative bacterium transmitted by the bite of infected chigger larva. The disease is distributed from Asia to the Pacific islands, and this region is known as the Tsutsugamushi Triangle. A 28-year-old man was admitted to the Royal Hospital with a four-day history of fever, headache, rigors, anorexia, and a nonspecific macular rash. Clinical presentation, laboratory results as well as epidemiological data indicated that this might be a case of scrub typhus. Additional serology tests confirmed the presumed diagnosis, and the patient was successfully treated with empirical therapy. Untreated scrub typhus has high mortality and early diagnosis and adequate treatment can prevent the potentially fatal outcome of the disease.
- Subjects
NEPAL; OMAN; ANTIBIOTICS; RICKETTSIAL disease diagnosis; ENCEPHALITIS; INSECT larvae; CARDIOMYOPATHIES; ADULT respiratory distress syndrome; EARLY medical intervention; RICKETTSIAL diseases; EARLY diagnosis; DISEASE complications; THERAPEUTICS
- Publication
Oman Medical Journal, 2019, Vol 34, Issue 3, p254
- ISSN
1999-768X
- Publication type
Article
- DOI
10.5001/omj.2019.48