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Case Reports
. 2020 Sep 1;12(9):e10191.
doi: 10.7759/cureus.10191.

Scrub Typhus Leading to Acute Liver Failure in a Pregnant Patient

Saurabh Gaba  1 , Sanjana Sharma  1 , Nayana Gaba  2   3 , Monica Gupta  1
Affiliations
Case Reports

Scrub Typhus Leading to Acute Liver Failure in a Pregnant Patient

Saurabh Gaba et al. Cureus. .

Abstract

Scrub typhus is a mite-borne rickettsial infection that presents with fever and a diverse array of complications. Lately, many epidemics have been reported from the Indian subcontinent. Data from these outbreaks suggest that liver injury in scrub typhus is common and reversible. We are reporting the case of a 27-year-old pregnant female who presented with fever, encephalopathy, jaundice and seizure. She had acute liver failure and dead fetus on admission. Despite appropriate antibiotics and supportive treatment, she continued to deteriorate and developed multiorgan dysfunction, leading to her demise.

Keywords: acute liver failure; fetal loss; fulminant liver failure; multiorgan dysfunction; orientia tsutsugamushi; outcome; pregnancy; rickettsia; scrub typhus; trombiculid.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Eschar below right breast.
It is present at the site of bite of the vector and visible as a black necrotic scab surrounded by a ring of erythema.
See this image and copyright information in PMC

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