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Splenic infarct due to scrub typhus

Selvin Sundar Raj1, Adhiti Krishnamoorthy1, Manjeera Jagannati1

  • 1Department of General Medicine, Christian Medical College, Vellore, Tamil Nadu, India.

Journal of Global Infectious Diseases
|June 14, 2014
PubMed

Insights

Scrub typhus, a mite-borne illness, can cause fatal organ damage. This case highlights rare splenic involvement, presenting as a splenic infarct in a patient with fever and abdominal pain.

Area of Science:

  • Infectious Diseases
  • Pathology
  • Internal Medicine

Background:

  • Scrub typhus is a significant infectious disease transmitted by mites, known for potential multi-organ involvement and fatality.
  • Abdominal manifestations like hepatitis, gastric ulcerations, and pancreatitis are documented, stemming from disseminated vasculitis.

Observation:

  • Splenic involvement in scrub typhus is exceptionally rare, with limited documentation primarily from autopsy studies.
  • A 50-year-old female patient presented with fever and characteristic left upper quadrant abdominal pain.

Findings:

  • The patient's symptoms were attributed to a splenic infarct, a rare complication of scrub typhus.
  • This case underscores the potential for vascular complications in the spleen due to scrub typhus vasculitis.

Implications:

  • Highlights the importance of considering scrub typhus in the differential diagnosis of splenic infarcts, especially in endemic areas.
  • Suggests that non-autopsy clinical diagnosis of splenic involvement in scrub typhus is possible.
  • Further research into the pathogenesis of splenic involvement in scrub typhus is warranted.
Keywords:
ComplicationScrub typhusSplenic infarct

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