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Severe Scrub Typhus Complicated by Myofascitis Due to the Taguchi Strain of Orientia tsutsugamushi
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Abstract
ÂêÂê°¡¹«½Ãº´Àº O. tsutsugamushi¿¡ ÀÇÇÑ ³»ÇǼ¼Æ÷ Æı«·Î Àü½ÅÀûÀÎ Ç÷°ü¿°ÀÌ ¹ß»ýÇÏ¿© °í¿, µÎÅë, ±ÙÀ°Åë, °¡ÇÇ Çü¼º,
¸²ÇÁÀý Á¾´ë°¡ ¹ß»ýÇÏ´Â ±Þ¼º ¿¼º ÁúȯÀ¸·Î ´Ù¾çÇÑ ÀÓ»óÁõ»óÀ» º¸ÀÏ ¼ö ÀÖÀ¸¸ç ÁßÁõ ÇÕº´ÁõÀ» ¾ß±âÇÏ¿© »ç¸Á¿¡ À̸¦ ¼ö ÀÖ´Â º´ÀÌ´Ù. Á¶±â¿¡ ÀûÀýÇÑ Ä¡·á´Â ¿ÏÄ¡ °¡´ÉÇÏ¸ç ºü¸¥ Áø´ÜÀÌ Áß¿äÇÏ´Ù. ÇöÀç±îÁö Æó·ÅÀ̳ª ³ú¼ö¸·¿°ÀÇ µ¿¹ÝÀº º¸°í°¡ µÇ¾î ¿ÔÀ¸³ª ±ÙÀ°±Ù¸·¿°±îÁö º¹ÇÕÀûÀ¸·Î µ¿¹ÝµÈ ÁßÁõÀÇ ÂêÂê°¡¹«½Ãº´Àº º¸°íµÈ ÀûÀÌ ¾ø´Ù. ÀÌ¿¡ ÀúÀÚµéÀº Æó·Å, ³ú¼ö¸·¿°°ú ÇÔ²² ±ÙÀ°±Ù¸·¿°ÀÌ µ¿¹ÝµÈ ÁßÁõÀÇ Taguchi Ç׿øÇü ÂêÂê°¡¹«½Ãº´À» ÀûÀýÈ÷ Áø´ÜÇÏ°í Ä¡·áÇÏ¿© ¿ÏÄ¡ÇÑ °æÇèÀ» º¸°íÇÏ´Â ¹ÙÀÌ´Ù.
Scrub typhus is an acute febrile illness with focal or general vasculitis that is caused by Orientia tsutsugamushi. The spectrum of clinical severity ranges from mild to severe with potentially fatal complications including acute renal failure, gastrointestinal bleeding, meningitis, myocarditis, and pneumonia. However, myofascitis with scrub typhus has not been reported to date. We report a case of pneumonia, meningitis, and myofascitis in a 56-year-old male patient with scrub typhus due to the Taguchi strain of O. tsutsugamushi.
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Scrub typhus, Pneumonia, Meningitis, Fasciitis
KMID :
0882420140860020253
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