SCRUB TYPHUS PRESENTING AS ACUTE PANCREATITIS: A RARE CASE

Amsa Palanikumar Goutham Kumar, Subramaniam Suresh Kanna, Dinesh Babu

Abstract


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.


Keywords


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

Full Text:

PDF

References


Katyal VK, Jain D, Mittal A. Scrub typhus presenting as acute pancreatitis with multi-organ dysfunction - a rare case report. J Assoc Physicians India 2015 Jan;2(1):260-3.

Iqbal N, Viswanathan S, Remalayam B, Muthu V, George T. Pancreatitis and MODS due to scrub typhus and dengue co-infection. Trop Med Health 2012 Apr;40 (1):19-21. https://doi.org/10.2149/tmh.2012-07

Yang CH, Young TG, Peng MY, Hsu GJ. Unusual presentation of acute abdomen in scrub typhus: a report of two cases. Zhonghua Yi XueZaZhi (Taipei) 1995 May;55(5):401-4.

McCrumb Jr FR, Stockard JL, Robinson CR, Turner LH, Levis DG, Maisey CW, et al. Leptospirosis in Malaya. I. Sporadic cases among military and civilian personnel. Am J Trop Med Hyg 1957;6(2):238-56. https://doi.org/10.4269/ajtmh.1957.6.238

Batra HV. Spotted fevers and typhus fever in Tamil Nadu. Indian J Med Res 2007 Aug;126(2):101-3.

Mahajan SK, Kashyap R, Kanga A, Sharma V, Prasher BS, Pal LS, et al. Relevance of Weil-Felix test in diagnosis of scrub typhus in India. J Assoc Physicians India 2006;54:619-21.

Mathai E, Lloyd G, Cherian T, Abraham OC, Cherian AM. Serological evidence for the continued presence of human rickettsioses in Southern India. Ann Trop Med Parasitol 2001;95:395-8. https://doi.org/10.1080/00034983.2001.11813652

Sundhindra BK, Vijayakumar S, Kutty KA, Tholpadi SR, Rajan RS, Mathai E, et al. Rickettsial spotted fever in Kerala. Natl Med J India 2004;17:51-2.

Mittal V, Gupta N, Bhattacharya D, Kumar K, Ichhpujani RL, Singh S, et al. Serological evidence of rickettsial infections in Delhi. Indian J Med Res 2012;135:538-41.

Bithu R, Kanodia V, Maheshwari RK. Possibility of scrub typhus in fever of unknown origin (FUO) cases: An experience from Rajasthan. Indian J Med Microbiol 2014;32:387-90. https://doi.org/10.4103/0255-0857.142241

Sharma A, Mahajan S, Gupta ML, Kanga A, Sharma V. Investigation of an outbreak of scrub typhus in the Himalayan region of India. Japanese J Infect Dis 2005 Aug;58(4):208-10.

Vivekanandan M, Mani A, Priya YS, Singh AP, Jayakumar S, Purty S, et al. Outbreak of scrub typhus in Pondicherry. J Assoc Physicians India 2010;58:24-8.




DOI: https://doi.org/10.46903/gjms.19.04.1039

Refbacks

  • There are currently no refbacks.


Copyright (c) 2021. Amsa Palanikumar Goutham Kumar, Subramaniam Suresh Kanna, Dinesh Babu

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

Gomal Medical College, Daraban Road, Dera Ismail Khan, Pakistan

ISSN: 1819-7973, e-ISSN: 1997-2067

Website: https://www.gmcdikhan.edu.pk

Phone: +92-966-747373

Scimago Journal & Country Rank