Author:
Kang Ji-In,Kim Dong-Min,Lee Joonhan
Abstract
Abstract
Background
Scrub typhus is an acute febrile illness caused by Orientia tsutsugamushi.
Case presentations
We encountered a patient with sensorineural hearing loss complicating scrub typhus, and three patients with scrub typhus who complained of otalgia, which was sudden onset, severe, paroxysmal, intermittent yet persistent pain lasting for several seconds, appeared within 1 week after the onset of fever and rash. The acute sensorineural hearing loss and otalgia were resolved after antibiotic administration.
Conclusion
When patients in endemic areas present with fever and rash and have sensorineural hearing loss or otalgia without otoscopic abnormalities, clinicians should suspect scrub typhus and consider empirical antibiotic therapy.
Publisher
Springer Science and Business Media LLC
Reference13 articles.
1. Elisberg BL, Campbell JM, Bozeman FM: Antigenic diversity of Rickettsia tsutsugamushi: epidemiologic and ecologic significance. J Hyg Epidemiol Microbiol Immunol. 1968, 12: 18-25.
2. Cracco C, Delafosse C, Baril L, Lefort Y, Morelot C, Derenne JP, Bricaire F, Similowski T: Multiple organ failure complicating probable scrub typhus. Clin Infect Dis. 2000, 31: 191-192. 10.1086/313906.
3. Premaratna R, Chandrasena TGAN, Dassayake AS, Loftis AD, Dasch GA, de Silva HJ: Acute hearing loss due to scrub typhus: a forgotten complication of reemerging disease. Clin Infect Dis. 2006, 42: e6-8. 10.1086/498747.
4. Watt G: Scrub typhus. Oxford text book of Medicine. Edited by: Warrell DA, Cox TM, Firth JD, Benz EJ Jr. 2003, Oxford. Oxford University Press, 1: 629-31. 4
5. Goddard J: Chigger mites and scrub typhus. Infect Med. 2000, 17: 236-9.
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