Acute intravascular haemolysis associated with scrub typhus

被引:2
作者
Ganguly, Debapratim [1 ]
Chandra, Atanu [2 ]
Maitra, Swarnojit [1 ]
Malakar, Shobhan Lal [1 ]
机构
[1] Midnapore Med Coll & Hosp, Internal Med, Midnapore, West Bengal, India
[2] RG Kar Med Coll Hosp, Internal Med, Kolkata, West Bengal, India
关键词
Doxycycline; Tropical medicine (infectious disease); Haematology (incl blood transfusion); General practice / family medicine;
D O I
10.1136/bcr-2024-261003
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Scrub typhus, a prevalent tropical infection, may sometimes manifest with unusual complications. Here, we present the case of a young man who was admitted to our facility with a fever for the past 3 days and passage of dark-coloured urine since that morning. On investigation, we identified intravascular haemolytic anaemia. Through meticulous examination, a black necrotic lesion (eschar) was discovered on his right buttock, a pathognomonic sign of scrub typhus infection. Treatment was initiated with oral doxycycline 100 mg two times a day. Subsequently, diagnosis of scrub typhus was confirmed through positive results from scrub typhus IgM via ELISA and PCR analysis from the eschar tissue. The patient responded well to oral doxycycline and his symptoms resolved within the next few days. This case highlights severe intravascular haemolysis associated with scrub typhus infection.
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页数:3
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