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Published on: April 7, 2021
Acute respiratory distress syndrome following scrub typhus: a case report
Chien-Chih Tseng1, Heng-Hsin Tung, Shu-Fang Wu
1Shin Kong Wu Ho-Su Memorial Hospital, National Taipei University of Nursing and Health Science, Taipei, Taiwan.
Purpose:
To discuss a case of scrub typhus complicated with acute respiratory distress syndrome (ARDS) in a 67-year-old female. An overview of the prevalence and pathogenesis of the disorder, clinical diagnosis, and treatment are presented.
Data Sources:
Case report, diagnostic evidence, and scientific literature.
Conclusions:
If not properly treated, scrub typhus can cause serious complications, such as ARDS and septicemia. When left untreated, the mortality rate for scrub typhus will be increased. When there is a cause to believe that scrub typhus is present, doxycycline treatment leads to rapid symptom improvement.
Implications For Practice:
People might not be aware of the possibility of scrub typhus because it had been a more common disease in the past. Nurse practitioners (NPs) should take a detail history and be aware of common clinical manifestations to promote the early recognition and appropriate treatment of scrub typhus, which would prevent severe complications and reduce mortality. A resurgence of the disease could occur at any time among military troops serving in endemic regions.
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