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Severe Scrub Typhus Presenting With Multiorgan Dysfunction and Atypical Features: Two Case Reports From the Maldives
Kyaw Zin Aung1, Ei Ei Cho1, Naw Eh Law Saw1
1Internal Medicine, Kulhudhuffushi Regional Hospital, Kulhudhuffushi City, MDV.
Severe scrub typhus, caused by Orientia tsutsugamushi, presents atypical symptoms and systemic involvement. Early diagnosis and aggressive treatment are crucial for managing this emerging febrile illness.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- Scrub typhus, caused by Orientia tsutsugamushi, is an emerging infectious disease.
- It presents a wide range of clinical symptoms, from mild fever to life-threatening multiorgan dysfunction syndrome (MODS).
- Atypical presentations and lack of eschar complicate early diagnosis.
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Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...
