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Chronic Salmonella Infection Induced Intestinal Fibrosis
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Scrub typhus cholecystitis.

Ashok Kumar Pannu1, S Smitha1, Nithiyanandan Ravi1

  • 1Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Journal of Vector Borne Diseases
|December 3, 2021
PubMed
Summary
This summary is machine-generated.

Acute acalculous cholecystitis, a severe condition often linked to illness or trauma, can be caused by Orientia tsutsugamushi infection. This case highlights the importance of considering tropical fever in patients presenting with acute cholecystitis symptoms.

Keywords:
CholecystitisOrientia tsutsugamushiscrub typhustropical fever

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Area of Science:

  • Infectious Diseases
  • Gastroenterology
  • Tropical Medicine

Background:

  • Acute acalculous cholecystitis (AACC) is a severe gallbladder inflammation without gallstones.
  • AACC is frequently associated with critical illness, surgery, trauma, or burns.
  • It is considered more severe than acute calculous cholecystitis.

Observation:

  • A patient presented with symptoms suggestive of acute cholecystitis in a surgical emergency setting.
  • Clinical suspicion for acute tropical fever illness was raised.
  • Diagnostic workup identified Orientia tsutsugamushi infection as the underlying cause.

Findings:

  • Orientia tsutsugamushi infection can manifest with clinical features mimicking acute cholecystitis.
  • This association is not commonly recognized, especially in non-endemic areas.
  • The patient's presentation underscores a potential link between scrub typhus and AACC.

Implications:

  • Clinicians should consider infectious etiologies, including tropical fevers like scrub typhus, in the differential diagnosis of AACC.
  • Early identification of Orientia tsutsugamushi infection is crucial for appropriate treatment and management of AACC.
  • This case expands the spectrum of clinical presentations associated with Orientia tsutsugamushi infections.