Life-Threatening Scrub Typhus in a Traveler Returning From Thailand

Abstract

Scrub typhus is not one of the more commonly encountered diseases in travelers returning from Asia, but deserves more consideration in view of its severity and the availability of specific chemotherapy and chemoprophylaxis. We describe a case of scrub typhus with coma and multi-organ failure in a traveler returning to the U.S. from Thailand. The diagnosis was only made retrospectively despite a travel history and clinical signs which suggested Rickettsia tsutsugamushi infection. No specific therapy was given and marked neurologic impairment persisted 6 months after the beginning of the illness. An increased awareness of scrub typhus is prerequisite for providing recommendations for prevention and instituting prompt therapy

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Document Details

Document Type
Technical Report
Publication Date
Apr 01, 1994
Accession Number
ADA279845

Entities

People

  • Daniel Strickman
  • George Watt

Organizations

  • Armed Forces Research Institute of Medical Sciences

Tags

DTIC Thesaurus Topics

  • Asia
  • Availability
  • Chemotherapy
  • Diseases And Disorders
  • Health Services
  • Infection
  • Infectious Diseases
  • Medical Personnel
  • New Guinea
  • North America
  • Rickettsial Diseases
  • Scrub Typhus
  • Therapy
  • Tropical Medicine
  • Typhus
  • United States

Fields of Study

  • Medicine

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