An unusual site of chigger bite in a patient with scrub typhus

Sheung Mei Lau, Wen Liang Yu, Jen Hsien Wang

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

A 70-year-old female farmer was admitted to the hospital because of fever, headache, and diarrhea for 7 days. Hypotension, right-sided pleural effusion with respiratory distress and leukocytosis were noted. She was initially treated as systemic bacterial infection by IV administration of ampicillin/sulbactam and amikacin. Because fever persisted in spite of aggressive treatment, a repeat thorough physical examination was done. An eschar was found over the left-sided labium majus and an enlarged lymph node was noted over the left inguinal region. Under the impression of scrub typhus, minocycline was administered. The patient's clinical condition improved dramatically within 3 days. The diagnosis was later confirmed by a serologic test for Rickettsia tsutsugamushi. Copyright (C) 1999 Elsevier Science Inc.

Original languageEnglish
Pages (from-to)159-161
Number of pages3
JournalDiagnostic Microbiology and Infectious Disease
Volume35
Issue number2
DOIs
Publication statusPublished - Oct 1999
Externally publishedYes

Fingerprint

Trombiculidae
Scrub Typhus
Bites and Stings
Fever
Orientia tsutsugamushi
Minocycline
Amikacin
Groin
Delayed Diagnosis
Leukocytosis
Serologic Tests
Pleural Effusion
Bacterial Infections
Hypotension
Physical Examination
Headache
Diarrhea
Lymph Nodes
Therapeutics

ASJC Scopus subject areas

  • Applied Microbiology and Biotechnology
  • Immunology
  • Microbiology
  • Parasitology
  • Virology
  • Immunology and Allergy
  • Infectious Diseases

Cite this

An unusual site of chigger bite in a patient with scrub typhus. / Mei Lau, Sheung; Liang Yu, Wen; Hsien Wang, Jen.

In: Diagnostic Microbiology and Infectious Disease, Vol. 35, No. 2, 10.1999, p. 159-161.

Research output: Contribution to journalArticle

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