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Acute Pancreatitis, Shock, and Multiple Organ Dysfunction Syndrome in Scrub Typhus
Abhin Sapkota1, Rahul Devkota2, Angel Dongol2
1Internal Medicine, Chirayu National Hospital and Medical Institute Private Limited, Kathmandu, NPL.
Abstract:
Scrub typhus is an endemic disease caused by the bites of infected chiggers (larval mites) harboring causative bacteria Orientia tsutsugamushi. Acute pancreatitis is a rare but occasionally fatal complication of scrub typhus infection caused by vascular and perivascular inflammation of the pancreas.A 34-year-old female presented with severe epigastric pain and multiple episodes of vomiting. Extensive evaluation of the patient revealed acute pancreatitis secondary to scrub typhus. The patient also had septic shock and multiple organ dysfunction syndrome. The patient was mechanically ventilated and treated with doxycycline, and pancreatitis was managed conservatively.
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