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Case Reports
. 2016 Sep 7;95(3):554-7.
doi: 10.4269/ajtmh.16-0069. Epub 2016 Jul 25.

A Case of Scrub Typhus Complicated by Adult Respiratory Distress Syndrome and Successful Management with Extracorporeal Membrane Oxygenation

Woo Young Choi  1 , Seung Yun Lee  1 , Hea Yoon Kwon  1 , Jae Hyoung Im  1 , Areum Durey  1 , Ji Hyeon Baek  1 , Young Sam Kim  2 , Jae-Seung Kang  3 , Jin-Soo Lee  4
Affiliations
Case Reports

A Case of Scrub Typhus Complicated by Adult Respiratory Distress Syndrome and Successful Management with Extracorporeal Membrane Oxygenation

Woo Young Choi et al. Am J Trop Med Hyg. .

Abstract

A 67-year-old woman was diagnosed as having scrub typhus with pneumonitis. On admission, she was started on a combination therapy with levofloxacin and doxycycline. However, the patient developed severe acute respiratory distress syndrome (ARDS) on the 2nd day, and as a result, she underwent extracorporeal membrane oxygenation (ECMO). She was weaned from ECMO on the 10th day, as her respiratory status gradually improved. She was discharged without sequelae on the 23rd day. The outcome suggests that the use of ECMO should be considered for patients with ARDS induced from scrub typhus.

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Figures

Figure 1.
Figure 1.
Eschar: a clinical photograph showing an erythematous papule on the right armpit. The scab might have been peeled away.
Figure 2.
Figure 2.
(A) On admission day: bilateral pulmonary infiltration. (B) On hospital day (HD) 2: acute respiratory distress syndrome. (C) On HD 10: improving state. (D) On HD 23: almost recovered by chest radiography. She has been discharged.
See this image and copyright information in PMC

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