Scrub typhus infection in pregnancy: the dilemma of diagnosis and treatment in a resource-limited setting

被引:4
|
作者
Watthanaworawit, Wanitda [1 ]
Kolakowska, Edyta [1 ]
Hanboonkunupakarn, Borimas [2 ]
Ling, Clare [1 ]
McGready, Rose [1 ,3 ]
机构
[1] Mahidol Univ, Fac Trop Med, Mahidol Oxford Trop Med Res Unit, Shoklo Malaria Res Unit, POB 46,68-30 Baan Tung Rd, Mae Sot 63110, Tak Province, Thailand
[2] Mahidol Univ, Fac Trop Med, Mahidol Oxford Trop Med Res Unit, Bangkok, Thailand
[3] Univ Oxford, Nuffield Dept Med, Ctr Trop Med, Oxford, England
来源
CLINICAL CASE REPORTS | 2016年 / 4卷 / 06期
基金
英国惠康基金;
关键词
Acute undifferentiated fever; maternal mortality; Orientia tsutsugamushi; scrub typhus; sepsis; stillbirth;
D O I
10.1002/ccr3.572
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
To save the life of both mother and fetus, the risks and benefits of the few antibiotics considered effective in the treatment of severe scrub typhus require consideration. In this case, chloramphenicol treatment averted maternal but not fetal mortality. Evidence-based guidelines appropriate for resource-limited endemic areas are required.
引用
收藏
页码:584 / 588
页数:5
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