Amsa Palanikumar Goutham Kumar, Subramaniam Suresh Kanna, Dinesh Babu


Scrub typhus is an insect-borne disease caused by Orientia sutsugamushi which may cause disseminated vasculitis and perivascular inflammatory lesions resulting in significant vascular leakage and cause end organ damage. Scrub typhus can lead to severe complications such as acute respiratory distress syndrome (ARDS), myocarditis, hepatitis and meningoencephalitis. Some unusual presentations of scrub typhus are peritonitis, gastric ulceration, duodenal ulcer perforation and acalculous cholecystitis. But acute pancreatitis is a relatively rare complication of scrub typhus. Here we report a rare case of scrub typhus in the form of acute pancreatitis.


Scrub Typhus; Orientia tsutsugamushi; Thrombocytopenia; Acute Pancreatitis; Acute Respiratory Distress Syndrome; Myocarditis; Hepatitis; Meningoencephalitis; Fever; India.

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