Scrub Typhus: An Acute Precipitant for Acute on Chronic Liver Failure

被引:0
作者
Maharshi, Sudhir [1 ,2 ]
Gupta, Pankaj K. [1 ]
Sharma, Kamlesh K. [1 ]
Pokharna, Rupesh [1 ]
Nijhawan, Sandeep [1 ]
Sharma, Shyam S. [1 ]
机构
[1] SMS Med Coll & Hosp, Dept Gastroenterol, Jaipur, India
[2] SMS Hosp Jaipur, Dept Gastroenterol, Room 218,Superspecial Block, Jaipur 302004, Rajasthan, India
关键词
acute-on-chronic liver failure; scrub typhus; liver cirrhosis; liver Infections; rickettsial infection; CIRRHOSIS;
D O I
10.1016/j.jceh.2024.101344
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Acute -on -chronic liver failure (ACLF) is a clinical syndrome with high mortality. Many acute precipitating factors have been implicated in triggering the acute event of ACLF, with bacterial infections being a common precipitant. However, many other precipitants can cause ACLF; therefore, identification of these factors early in the golden window and their treatment can result in improved prognosis. Scrub typhus usually presents as uncomplicated acute febrile illness but rarely as complicated. Few case reports of scrub -typhus -induced acute liver failure have been reported but none with scrub -typhus -precipitating ACLF so far. Therefore, we are reporting a case of scrub -typhus -precipitating ACLF, where timely intervention with antibiotics results in improved outcome. ( J CLIN EXP HEPATOL 2024;14:101344)
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页数:4
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