Acute Severe Calculous Cholecystitis with Multiorgan Failure Complicated by Scrub Typhus. (24th June 2019)

• Record Type: Journal Article
• Authors: Acharya, Suman; Yadav, Jayant Kumar; Khanal, Nischal; Bhandari, Raju; Ghimire, Bikal
• Other Names: Chowdri Nisar A. Academic Editor.
• Is Part Of: Case reports in surgery. Volume 2019(2019)
• Publication Date: 2019-06-24
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; Surgical Procedures, Operative; General Surgery; Surgery; Electronic journals; Periodicals; Case studies; Periodicals; Case Reports; Fulltext; Internet Resources; Periodicals; 617
• DOI: 10.1155/2019/7505108
• Languages: English
• ISSNs: 2090-6900

Abstract

Abstract : Scrub typhus is a febrile illness and can present with manifestations ranging from subclinical symptoms to multiorgan failure and death. Scrub typhus is a rare etiology of acute cholecystitis. A patient presenting with the features of acute cholecystitis who does not respond to standard treatment should be screened for scrub typhus in a typhus endemic region. We report a case of a 70-year-old female with acute severe calculous cholecystitis with multiorgan failure complicated by scrub typhus. She improved remarkably after starting doxycycline for scrub typhus. Scrub typhus should be considered as a trigger in a patient presenting with cholecystitis in a typhus endemic region.