Scrub Typhus Mimicking Deep Neck Infection

被引：0
|
作者：
Tsai, Chen-Chi [1 ,2 ]
Chiang, Dung-Hung [3 ,4 ]
Duh, Ruay-Wang [3 ,4 ]
机构：
[1] Buddhist Dalin Tzu Chi Gen Hosp, Dept Med, Infect Dis Sect, Chiayi, Taiwan
[2] Tzu Chi Univ, Chiayi, Taiwan
[3] Taipei Vet Gen Hosp, Dept Med, Infect Dis Sect, Taipei, Taiwan
[4] Natl Yang Ming Univ, Taipei 112, Taiwan
来源：
INTERNAL MEDICINE | 2008年 / 47卷 / 22期
关键词：
scrub typhus; deep neck infection; eschar;
D O I：
10.2169/internalmedicine.47.1441
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Scrub typhus is not uncommon in Asia and it is life threatening without correct treatment. The presentation of scrub typhus mimicking deep neck infection is rarely encountered by clinical physicians and delays the determination of the correct diagnosis. Here, we report a case of scrub typhus presenting symptoms like deep neck infection. The patient was admitted due to fever and a tender swelling on left side of his neck, which progressed to respiratory failure and acute renal failure under empirical use of ceftriaxone and metronidazole. After repetitive physical examinations, an eschar was found on his scalp. Finally he was successfully treated with tetracycline antibiotics.
引用
收藏
页码：1997 / 2000
页数：4
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