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Published on: June 12, 2021
A Case of Scrub Typhus complicated with a Splenic Infarction
Areum Durey1, Hea Yoon Kwon2, Young Kyoung Park3
1Department of Emergency Medicine, Inha University School of Medicine, Incheon, Korea. areum.durey@gmail.com.
Abstract:
We present a patient with scrub typhus complicated with a splenic infarction. A 40-year-old man visited the emergency medical center complaining of fever for the previous week. He had no past medical history, but reported engaging in outdoor activities. Examination revealed a maculopapular rash on his trunk and an eschar on his epigastrium. Abdominal computed tomography was performed to examine the cause of the tenderness on the left upper quadrant of his abdomen, which revealed a splenic infarct. The patient was diagnosed with scrub typhus based on the results of blood polymerase chain reaction testing, and genetic sequencing confirmed the presence of Orientia tsutsugamushi Boryong. His symptoms improved following doxycycline treatment.
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