Scrub typhus, a rare of cause of fulminant hepatic failure: A common disease with uncommon presentation

Authors

  • Subramani Jagadeesan
  • Pranav Patel
  • Ajay Jain

DOI:

https://doi.org/10.32677/ijcr.v7i12.3178

Keywords:

Doxycycline, Fulminant hepatic failure, Scrub typhus, South-Asia

Abstract

Scrub typhus (bush typhus) is a potentially lethal mite-borne, acute febrile infectious illness caused by Orientia tsutsugamushi, reported precipitating frequent outbreaks in the Asia-pacific belt. Usual presentation after a median incubation period of 10–14 days, stretches from pathognomonic eschar, high-grade fever, centrifugal skin rash, jaundice, regional lymphadenopathy to frontal headache, nevertheless complicated at times with myocarditis, acute respiratory distress syndrome, acute kidney injury, encephalitis, and shock. Although patients with scrub typhus invariably do display mild liver injury, fulminant hepatic failure (FHF) is rarely reported. We describe herein, a case of FHF in an elderly male that responded well to antibiotics. Early diagnosis and sensitive antibiotic administration aids in mortality prevention of the former.

Downloads

Download data is not yet available.

Downloads

Published

2021-12-28

Issue

Section

Case Report

How to Cite

Scrub typhus, a rare of cause of fulminant hepatic failure: A common disease with uncommon presentation. (2021). Indian Journal of Case Reports, 7(12), 526-528. https://doi.org/10.32677/ijcr.v7i12.3178

Most read articles by the same author(s)

<< < 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 > >>