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Korean J Pancreas Biliary Tract > Volume 18(3):2013 > Article
The Korean Journal of Pancreas and Biliary Tract 2013;18(3):41-45.
쯔쯔가무시병에 의한 급성 괴사성 췌장염 1예
양보경1, 이지운1, 김미희1, 강진구1, 김은정1, 조성진2, 이진헌1, 김경호1
1한림대학교 의학대학 부속 강동성심병원 내과학교실, 2병리학 교실"
A Case of Acute Necrotizing Pancreatitis Caused by Scrub Typhus
Bo Kyung Yang1, Ji Un Lee1, Mi Hee Kim1, Jin Gu Kang1, Eunjung Kim1, Sungjin cho2, Jin Heon Lee1, Kyung Ho Kim1
Department of Internal Medicine, Hallym University College of Medicine, Seoul, Republic of Korea, Department of Pathology, Hallym University College of Medicine, Seoul, Republic of Korea
ABSTRACT
Scrub typhus is a mite-borne bacterial infection of humans that is caused by Orientia tsutsugamushi. The disease may involve the tissues of any organ system but case that is complicated by acute pancreatitis has rarely been reported. We report a case of a 91 years old man with an acute necrotizing pancreatitis caused by O. tsutsugamushi. He was admitted in October 2011 with severe epigastric pain. Abdominal computed tomography showed the necrosis of the head of pancreas with peri-pancreatic effusion. In nine days of hospital stay, parapneumonic effusion due to pneumonia was aggravated despite appropriate antibiotic treatment. We planed to insert chest tube. The eschar was found at his back during chest tube insertion. Finally the patient was diagnosed with acute necrotizing pancreatitis due to scrub typhus. He was improved after treatment of doxycycline and cefepime.
Keywords: pancreatitis, Orientia tsutsugamushi, scrub typhus
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