Publication: Case report: Spontaneous splenic rupture caused by scrub typhus
Issued Date
2016-12-01
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00029637
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2-s2.0-85005973802
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Mahidol University
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SCOPUS
Bibliographic Citation
American Journal of Tropical Medicine and Hygiene. Vol.95, No.6 (2016), 1284-1286
Suggested Citation
Wilawan Thipmontree, Kittipong Suwattanabunpot, Yupin Supputtamonkol Case report: Spontaneous splenic rupture caused by scrub typhus. American Journal of Tropical Medicine and Hygiene. Vol.95, No.6 (2016), 1284-1286. doi:10.4269/ajtmh.16-0089 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/40788
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Case report: Spontaneous splenic rupture caused by scrub typhus
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Abstract
Copyright © 2016 by The American Society of Tropical Medicine and Hygiene. Spontaneous rupture of the spleen is rarely described as a complication of scrub typhus infection. We report a previously healthy 74-year-old Thai female farmer who presented in Nakhon Ratchasima, Thailand, with a history of fever and malaise for 5 days, followed by abdominal pain for 1 day. An exploratory laparotomy was performed due to peritonitis. Operative findings revealed a ruptured spleen and hemoperitoneum. A splenectomy was performed afterward. Scrub typhus was confirmed by a 4-fold increase of IgM titer using an indirect immunofluorescence antibody assay and a positive result from the polymerase chain reaction targeting the 47-and 56-kDa genes in Orientia tsutsugamushi. She responded well to intravenous chloramphenicol and defervesced within 24 hours without any complication.