Three cases of scrub typhus with hemorrhage: a case report and literature review
Scrub typhus (ST) is an acute focal infectious disease that is caused by Orientia tsutsugamushi . The Asia-Pacific region is an area of relatively high incidence. There is a high incidence in China, principally owing to the disease being endemic in the south of the country. The main source of ST inf...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-10-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605231204430 |
| _version_ | 1797647954151997440 |
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| author | Ziren Chen Shi OuYang |
| author_facet | Ziren Chen Shi OuYang |
| author_sort | Ziren Chen |
| collection | DOAJ |
| description | Scrub typhus (ST) is an acute focal infectious disease that is caused by Orientia tsutsugamushi . The Asia-Pacific region is an area of relatively high incidence. There is a high incidence in China, principally owing to the disease being endemic in the south of the country. The main source of ST infection is rats, which act as reservoirs of infection after being bitten by the chigger mite, and the human population is generally susceptible to the disease. ST can be controlled and treated successfully if antibiotics are administered in a timely manner. However, because it does not have a specific clinical manifestation, it is difficult to distinguish ST from other febrile diseases in clinical practice. Therefore, rapid diagnostic methods are still needed to help clinicians make a timely diagnosis. Here, we share three cases of patients with ST who experienced hemorrhage, but did not have typical skin lesions, such as eschar and ulcer, early in the course of their disease, and review the relevant literature regarding ST. We conclude that clinicians should pay attention to the risk of hemorrhage associated with this disease, and emphasize the importance of making an early diagnosis. |
| first_indexed | 2024-03-11T15:24:10Z |
| format | Article |
| id | doaj.art-556847b15cae4c3dbed55f7b29acb232 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-03-11T15:24:10Z |
| publishDate | 2023-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-556847b15cae4c3dbed55f7b29acb2322023-10-28T01:03:55ZengSAGE PublishingJournal of International Medical Research1473-23002023-10-015110.1177/03000605231204430Three cases of scrub typhus with hemorrhage: a case report and literature reviewZiren ChenShi OuYangScrub typhus (ST) is an acute focal infectious disease that is caused by Orientia tsutsugamushi . The Asia-Pacific region is an area of relatively high incidence. There is a high incidence in China, principally owing to the disease being endemic in the south of the country. The main source of ST infection is rats, which act as reservoirs of infection after being bitten by the chigger mite, and the human population is generally susceptible to the disease. ST can be controlled and treated successfully if antibiotics are administered in a timely manner. However, because it does not have a specific clinical manifestation, it is difficult to distinguish ST from other febrile diseases in clinical practice. Therefore, rapid diagnostic methods are still needed to help clinicians make a timely diagnosis. Here, we share three cases of patients with ST who experienced hemorrhage, but did not have typical skin lesions, such as eschar and ulcer, early in the course of their disease, and review the relevant literature regarding ST. We conclude that clinicians should pay attention to the risk of hemorrhage associated with this disease, and emphasize the importance of making an early diagnosis.https://doi.org/10.1177/03000605231204430 |
| spellingShingle | Ziren Chen Shi OuYang Three cases of scrub typhus with hemorrhage: a case report and literature review Journal of International Medical Research |
| title | Three cases of scrub typhus with hemorrhage: a case report and literature review |
| title_full | Three cases of scrub typhus with hemorrhage: a case report and literature review |
| title_fullStr | Three cases of scrub typhus with hemorrhage: a case report and literature review |
| title_full_unstemmed | Three cases of scrub typhus with hemorrhage: a case report and literature review |
| title_short | Three cases of scrub typhus with hemorrhage: a case report and literature review |
| title_sort | three cases of scrub typhus with hemorrhage a case report and literature review |
| url | https://doi.org/10.1177/03000605231204430 |
| work_keys_str_mv | AT zirenchen threecasesofscrubtyphuswithhemorrhageacasereportandliteraturereview AT shiouyang threecasesofscrubtyphuswithhemorrhageacasereportandliteraturereview |