| Two cases of tsutsugamushi disease complicated with acute acalculous cholecystitis |
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Kyu Hak Kim, Seong Joo Kang, Yong Wan Seong, Young Hwa Cho, Doo Su Jeon, Young Min Shin, Han Kyu Moon |
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경희대학교 의과대학 순환기내과학교실 |
| 증례 : 급성 무결석성 담낭염을 동반한 쯔쯔가무시병 2예 |
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김규학, 강성주, 성용완, 조영화, 전두수, 신영민, 문한규 |
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| Abstract |
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We report two cases of acute acalculous cholecystitis associated with scrub typhus. The patients exhibited eschar and general rash with high titer of anti-Rickettsia (R)-tsutsugamushi antibody, fever, myalgia, severe right upper quadrant abdominal pain, nausea, and dyspepsia. Whole abdomen ultrasonography and computed tomography revealed eccentric gall bladder wall thickening, but did not reveal a stone. The patients were successfully treated with appropriate antibiotic therapy following early diagnosis with physical examination and radiology studies. Operation was not required. Acute acalculous cholecystitis is not a common complication in patients with scrub typhus. We suggest that scrub typhus also be included as one of the causes of acute acalculous cholecystitis and report other cases of acute acalculous cholecystitis caused by scrub typhus. |
| Key Words:
Scrub typhus; Acute acalculous cholecystitis; Acute abdomen |
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