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Bloodless Laparoscopic Partial Splenectomy Assisted by Bipolar Radiofrequency Excision Hemostatic Device
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Splenic infarct with scrub typhus: a rare presentation.

Manjeet K Goyal1, Yogesh C Porwal2, Arun Gogna2

  • 1PG Resident, Department of Medicine, VMMC and Safdarjung Hospital, New Delhi, India.

Tropical Doctor
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PubMed
Summary

Scrub typhus, a bacterial infection, can rarely cause splenic infarction, a serious condition affecting the spleen. Early diagnosis and doxycycline treatment led to a full recovery in a North Indian man.

Keywords:
Asiabacterial infectiondiseasetreatment

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Area of Science:

  • Infectious Diseases
  • Internal Medicine
  • Pathology

Background:

  • Scrub typhus presents with diverse clinical manifestations, often due to disseminated vasculitis.
  • Splenic infarction is an exceptionally rare complication of scrub typhus.
  • The differential diagnosis for febrile illness with abdominal pain is broad.

Observation:

  • A 26-year-old male in North India presented with acute febrile illness and abdominal pain.
  • Abdominal CT scan indicated splenic infarct.
  • Other potential causes for the splenic infarct were systematically excluded.

Findings:

  • Diagnosis of scrub typhus was confirmed by a positive IgM ELISA test.
  • The patient received oral doxycycline for treatment.
  • The patient was discharged symptom-free, indicating successful treatment.

Implications:

  • This case highlights splenic infarction as a rare but possible complication of scrub typhus.
  • It underscores the importance of considering scrub typhus in febrile illnesses with abdominal symptoms, especially in endemic areas.
  • The successful outcome emphasizes the efficacy of doxycycline in treating scrub typhus and its complications.