Massive small bowel bleeding caused by scrub typhus in Korea

• 作 者: Ki Beom Bae Won Hwa Youn Youn Jae Lee Soo Jin Jung Kwan Hee Hong
• 机 构: Department of Surgery,Inje University College of Medicine,Busan Paik Hospital,Department of Internal
• 出 处: World Journal of Gastrointestinal Surgery
• 发表日期: 2010年02期
• 关键词: bleeding colonoscopy Korea markedly distal proven involvement resected illness i

A 79-year-old man was diagnosed with scrub typhus based on fever,eschar,skin rash and a markedly elevated serum tsutsugamushi antibody and doxycycline was started.Five days later,hematochezia developed and multiple small bowel ulcerations with hemorrhage were seen on colonoscopy.Despite intensive therapy,the massive hematochezia worsened and the distal small bowel was resected.Multiple ulcerated lesions were identified pathologically as vasculitis caused by scrub typhus.This is the first reported case of pathologically proven small bowel involvement in scrub typhus infection.

A 79-year-old man was diagnosed with scrub typhus based on fever, eschar, skin rash and a markedly elevated serum serum tsutsugamushi antibody and doxycycline was started. Fever days later, hematochezia developed and multiple small bowel ulcerations with hemorrhage were seen on colonoscopy. Despite intensive therapy, the massive hematochezia worsened and the distal small bowel was resected. Multiple ulcerated lesions were identified pathologically as vasculitis caused by scrub typhus. This is the first reported case of pathologically proven small bowel involvement in scrub typhus infection.